Elective hepatic resection for benign and malignant liver disease: Early results
Autor: | G. Zografos, R W Awad, M K Koh, G Bottino, N. A. Habib |
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Rok vydání: | 1993 |
Předmět: |
Adult
Male medicine.medical_specialty Carcinoma Hepatocellular Cirrhosis Blood transfusion Adolescent medicine.medical_treatment Cholangiocarcinoma Liver disease Postoperative Complications Carcinoma medicine Hepatectomy Humans Aged business.industry Liver Diseases Gallbladder Liver Neoplasms Pringle manoeuvre Length of Stay Middle Aged medicine.disease Surgery medicine.anatomical_structure Liver Hepatocellular carcinoma Female Gallbladder Neoplasms business Packed red blood cells |
Zdroj: | British Journal of Surgery. 80:1039-1041 |
ISSN: | 1365-2168 0007-1323 |
DOI: | 10.1002/bjs.1800800839 |
Popis: | Between August 1989 and April 1992, 60 consecutive elective hepatic resections were performed by one surgeon at two hospitals. This personal series was reviewed to determine the early results of elective hepatic resection. There were 17 patients with liver metastases from colorectal cancer, 14 with hepatocellular carcinoma (three with cirrhosis), seven with cholangiocarcinoma, six with carcinoma of the gallbladder plus liver involvement, ten with liver metastases from other sites and six with benign conditions of the liver. Thirty-eight patients underwent major liver resection, seven unisegmentectomy, six bisegmentectomy, four trisegmentectomy an five non-anatomical resection. Total vascular exclusion was used in 50 cases and the Pringle manoeuvre in ten. The mean(s.d.) operative blood transfusion was 990(1260) ml packed red blood cells (range 0–13 units); 17 patients did not receive blood transfusion. There were two operative deaths; non-fatal complications developed in 16 patients. The two deaths were from postoperative liver failure and there was no other hospital death. |
Databáze: | OpenAIRE |
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