Open AccessMain complications after major liver resections and possible waysof prevention
Author(s) -
V. D. Fyodorov,
V. Vishnevsky,
Н. А. Назаренко,
Р. З. Икрамов,
И. А. Козырин
Publication year - 2007
Publication title -
bûlletenʹ sibirskoj mediciny
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 3
eISSN - 1819-3684
pISSN - 1682-0363
DOI - 10.20538/1682-0363-2007-3-16-21
Subject(s) - medicine , liver failure , blood loss , hepatectomy , resection , surgery , liver lobe , vascular occlusion , liver injury , vein , occlusion , radiology
Results of 325 major liver resections were investigated. The common indications were malignant and benign lesions, hydatid cysts, purulent cholangitis, posttraumatic liver necrosis. The main complications after liver resections were massive intraoperative bleedings and acute postoperative liver failure. The main causes of blood loss and liver failure were discovered. The most effective means to prevent bleeding was anatomical liver resection. Lobe vascular occlusion is essential for minimal blood loss. Postoperative liver failure was strong associated with the small volume of the remnant liver and decrease in functional liver capacity. Precision selection of patients and preoperative portal vein embolisation lead to decrease the rate of liver failure (5,4%).