Outcome of Major Liver Resection in Gastroenterology & Hepatology Teaching Hospital Review of Nine Cases | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 11, Issue 1, April 2012, Pages 113-117 PDF (0 K) | ||
| Authors | ||
| ; Talib AL-Jasha | ||
| Abstract | ||
| ABSTRACT: BACKGROUND: Major hepatectomies consider one of the most challenging procedure and did not become commonplace until the dramatic improvement in periopertive care in the 1980s. OBJECTIVE: Review the outcome of liver resection performed recently in Gastroenterology& Hepatology Teaching Hospital . PATIENTS AND METHOD: From June 2008 to March 2011, nine major anatomic hepatic resection was performed. Enucleation, Non- anatomic or wedge resection was excluded from this study. RESULTS: There were 4 men, 4 women and one child. Age range between 5-43 years median age 40 years. Nine major resection was done this include; extended right hepatectomy 1 patient, right hepatectomy 2 patients, left hepatectomy 3patients, left lateral lobectomy 2 patients, right anterior sectionectomy one patient. The inflow pedicle was controlled either by extrahepatic approach in 6 patients or intrahepatic pedicle ligation by vascular stapler in 3 patients. Post-operative hospitalization was 3-16 days, median 8 days. There were no mortality. Two patients developed bile leak in form of biloma which was treated by percutaneous drainage under ultrasound for 2weeks. Two patients develop intra-operative hypothermia that led to stop the operation for one hour until warming of the patient. CONCLUSION: Major liver resection can be performed in our hospital with acceptable morbidity rate. | ||
| Keywords | ||
| liver resection; hepatocellular carcinoma; hydatid cyst | ||
|
Statistics Article View: 91 PDF Download: 72 |
||