TABLE II.
Strategy | Safety profile (adverse effects) | Clinical setting | Length of stay | Unplanned ICU admissiona | Typical PPEb | Immunosuppression |
---|---|---|---|---|---|---|
Hepatectomy | Major morbidity: 20% Mortality: 2% | Inpatient | 3–6 Days | 5%–10% | Yes | Relative: postoperative SIRS |
Systemic therapy | Depends on regimen. Consider neutropenia and lymphopenia. | Outpatient | Recurrent visits (every 1–3 weeks) | Rare | Yes | Yes |
Percutaneous ablation | 4% Grade 3 events | Outpatient Inpatient (possible OR) |
1 Day 1–2 Days |
Rare | Yes | No |
Ablative radiation therapy (SBRT) | 6%–7% Grade 3 gastrointestinal events (if proximity to duodenum or stomach) | Outpatient | 3–5 Daily visits | Rare | No | No |
Intra-arterial liver embolization | 15%–30% Pain, fatigue, vomiting | Outpatient Inpatient (possible OR) |
1 Day (might require repeats, 4–6 weeks apart) 1–2 Days |
Rare | Yes | No |
Excludes routine planned postoperative admissions for monitoring.
That is, mask, gown, gloves—PPE requirements for usual care (could vary during COVID-19 pandemic, depending on institutional protocols).
ICU = intensive care unit; PPE = personal protective equipment; SIRS = systemic inflammatory response syndrome; OR = operating room; SBRT = stereotactic body radiation therapy.