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179592

Surgical complications of liver resections

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Last updated: 28 Dec 2024

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Abstract

Background:  Liver resection  has  been increasingly  performed  over  the last  2 decades worldwide because of improved postoperative outcomes and evidence that this approach offers the only chance of cure in many patients. Technical innovations  have mainly  focused on minimizing  bleeding  during transection of the hepatic parenchyma because excessive hemorrhage and the need  for blood transfusion are associated with increased postoperative morbidity and mortality Liver resection is still a high risk procedure because of difficulties in preoperative assessment of functional liver  volume and severity  of co-morbidity, complexities  of surgical procedures for preserving enough  functional liver and preventing injury  to mcyor vessels in the remnant liver. Although  zero mortality  can be achieved  during a limited  period in some centers,  the postoperative mortality in most studies is between 1%-5%, even in patients with normal liver background. Postoperative  death can be attributed  to liver  failure, infection  in surgical  site, bleeding from esophageal varices, bile leakage, and extrahepatic diseases. Methods: In this study, we classified  postoperative  complications  into  major and  minor ones according to their  fatal potential. We hypothesized  that improved  surgical technique can decrease surgical complications, while patient selection and careful perioperative management are important to prevent mcyor complications.  Randomized  collection of twenty nine patients underwent partial hepatectomy for different indications. Analysis of every case has been done, retrospectively Results:   In  this  study, the most  common indication  of liver  resection  was liver  tumors accounting  for 82.7% of cases, primary hepatic malignancy accounting  for 75.8%. Extension of liver resection was a predictor  factor of complication. Major complications  were observed with rate  of 29. 4% in  patients  who were subjected  to major  resections.  The most  common complication  was liver  decompensation  accounting   for 24.1%,  was  observed  in  cirrhotic patients. Conclusion: Our  findings  demonstrate  that liver  resection  can  be  performed  with  low mortality and acceptable morbidity rates. Surgical complications can be reduced by employing meticulous  surgical technique and,  whenever indicated,  vascular exclusion. In addition,  use of vaccine against HBV eventually decreases the incidence,  especially in endemic areas, and prevents the development of cirrhosis, which predisposes to hepatocellular carcinoma and liver decompensation after rersection.

DOI

10.21608/asjs.2014.179592

Authors

First Name

Sherif

Last Name

Abdel Halim

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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Orcid

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First Name

El Sobky

Last Name

A

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Mohamed H

Last Name

Hamouda

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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City

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Orcid

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First Name

Youhanna Shohdy

Last Name

Shafik

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Mohamed

Last Name

E Self

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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City

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Orcid

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First Name

Mohmed A

Last Name

Marzouk

MiddleName

-

Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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Volume

7

Article Issue

1

Related Issue

25657

Issue Date

2014-01-01

Receive Date

2021-06-23

Publish Date

2014-01-01

Page Start

1

Page End

7

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_179592.html

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https://asjs.journals.ekb.eg/service?article_code=179592

Order

19

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Surgical complications of liver resections

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Article

Created At

23 Jan 2023