Assessment of results of a resection of a liver

Abstract

Background: The lethality after a resection of a liver remains within 4 – 6% and is very far from zero. Objective: to assess the immediate results of liver resection. Methods: Objective: to assess the immediate results of liver resection. Material and methods: For the 2012-2015 operated on 72 patients about various diseases of the liver require the removal of 3 or more segments. Men – 43 women – 29. Age from 41 to 79 years. On average, 58±6 years. Malignant diseases – 55; benign – 17 patients. Performed a right-sided hemihepatectomy – 36 (including, with resection and reconstruction of blood vessels – 2), left hand – 32(including resection of the vessel – 1, resection of the stomach – 1); Resection of IV-V-VIII segments – 4 patients. Severe comorbidities were – 17 patients. Two patients were 9 and after 11 courses of chimiotherapie respectively. Severe fibrosis and liver steatosis had 21 patients. Operative intervention – 210 min Occlusion hepatoduodenal ligament in 60 patients. The average blood loss – 200,0 ±110,0 ml. Results: Results: Complications after surgery and 23(31.9 percent). Acute liver failure – 1 (1); postoperative bleeding 1(1), sepsis – 1(1). Non-specific complications had 18 patients and specific five, three of whom died. Conclusion: Conclusion: the complication and mortality rate after resection remains high. An increasing number of elderly patients requiring liver resection. To prevent severe postoperative complications must be strict adherence to anatomic principles of resection.