Factors Influencing the Outcomes of Liver Resection at Benjamini Mkapa Hospital Dodoma, Tanzania: A Retrospective Cross-Sectional Study
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Globally, liver resection outcomes have improved significantly due to advancements in surgical techniques. However, in developing countries like Tanzania, it remains a relatively new procedure with limited experience and higher associated risks. This study aims to assess the factors influencing outcomes of liver resection at Benjamin Mkapa Hospital among patients who underwent liver resection. A cross-sectional retrospective study design included all patients who underwent liver resection at Benjamin Mkapa Hospital during the study period. Data on socio-demographic and clinical characteristics, surgical outcomes, and influencing factors were collected from patient files and the Jeeva system. Statistical analysis was performed using SPSS software v25. A total of 18 patients were included, with a predominance of female patients (77.8%) and an evenly distributed residence pattern. Postoperative complications were observed in 38.9% of the cases, with liver-related complications being the most common (27.8%). Renal and respiratory complications each occurred in 16.7% of patients, and 16.8% of the patients (3 cases) died postoperatively. The study highlights the complexity and risks associated with liver resection at Benjamin Mkapa Hospital, with a notable rate of postoperative complications. Age and biopsy findings were key factors influencing outcomes, including complications, hospital stay, and mortality. These findings emphasize the importance of preoperative evaluation and patient selection to improve surgical outcomes.