Management of post-hepatectomy complications
Hepatic resection had an impressive growth over time. It has been widely performed for the treatment of various liver diseases, such as malignant tumors, benign tumors, calculi in the intrahepatic ducts, hydatid disease, and abscesses. Management of hepatic resection is challenging. Despite technica...
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| Published in: | World journal of gastroenterology : WJG Vol. 19; no. 44; pp. 7983 - 7991 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Baishideng Publishing Group Co., Limited
28-11-2013
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Hepatic resection had an impressive growth over time. It has been widely performed for the treatment of various liver diseases, such as malignant tumors, benign tumors, calculi in the intrahepatic ducts, hydatid disease, and abscesses. Management of hepatic resection is challenging. Despite technical advances and high experience of liver resection of specialized centers, it is still burdened by relatively high rates of postoperative morbidity and mortality. Especially, complex resections are being increasingly performed in high risk and older patient population. Operation on the liver is especially challenging because of its unique anatomic architecture and because of its vital functions. Common post-hepatectomy complications include venous catheter-related infection, pleural effusion, incisional infection, pulmonary atelectasis or infection, ascites, subphrenic infection, urinary tract infection, intraperitoneal hemorrhage, gastrointestinal tract bleeding, biliary tract hemorrhage, coagulation disorders, bile leakage, and liver failure. These problems are closely related to surgical manipulations, anesthesia, preoperative evaluation and preparation, and postoperative observation and management. The safety profile of hepatectomy probably can be improved if the surgeons and medical staff involved have comprehensive knowledge of the expected complications and expertise in their management. This review article focuses on the major postoperative issues after hepatic resection and presents the current management. |
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| Bibliography: | Author contributions: Jin S, Fu Q, Wuyun G and Wuyun T designed the research and analyzed the data; Jin S performed the research and wrote the paper. Correspondence to: Shan Jin, MD, PhD, Department of General Surgery, Affiliated Hospital of Inner Mongolia Medical University, Tongdao South Rd, Hohhot 010050, Inner Mongolia Autonomous Region, China. jinshangood@163.com Telephone: +86-471-6637645 Fax: +86-471-6637645 |
| ISSN: | 1007-9327 2219-2840 |
| DOI: | 10.3748/wjg.v19.i44.7983 |