Main complications after major liver resections and possible waysof prevention

• Published in: Bi͡u︡lletenʹ Sibirskoĭ medit͡s︡iny Vol. 6; no. 3; pp. 16 - 21
• Main Authors: V. D. Fyodorov, V. A. Vishnevsky, N. A. Nazarenko, R. Z. Ikramov, I. A. Kozyrin
• Format: Journal Article
• Language: English
• Published: Siberian State Medical University (Tomsk) 30-09-2007
• Subjects: обширные резекции; печень; хирургическое лечение
• ISSN: 1682-0363; 1819-3684
• DOI: 10.20538/1682-0363-2007-3-16-21

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%).