Liver resection in Hospital Privado's General Surgery department: 13 year experience liver resections.
Keywords:
hepatectoinies, hepatocarcinoma, liver metastasis, colonic adenocarcinomaAbstract
Background: Liver resection constitutes the treatment of choice In the liver primary neoplasms and sorne cases of metastatic tumors, but entail slgniflcant morbidity and mortality rates. Objetive: To present our experience In hepatic surgery. Material and Methods: Wc Included 40 patients who underwent hepatectomies in our Institution from December 1991 through December 2004. The information was collected retrospectively and was analized descriptive and statlstically. Results: 40 patients underwent 40 hepatectomies. The diagnosis included primary benign hepatic disease (n= 9. 22.5%), primary hepatic malignancy (n= 7, 17.5%) and metastatic hepatic disease (n= 24, 60%). In the metastatic group, the most frecuent pathology was colonic adenocarcinoma (n= 17, 42%). There were 4 perioperatory deaths (10%) and the average hospitaly stay was 10.8 days. Conclusions: our data shows that the most frequent indication of hepatic resection in our experience was metastatic colonic adenocarcinoma as compared to the other Institutions with similar experience.
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References
Imamura H, Seyama Y, Kokudo N, et al.One Thousand fifty - six hepatectomies without mortality in 8 years.Arch Surg. 2003; 138: 1198 - 1206.
Fan ST, Lo CL, et al. Hepatectomy for hepatocellular carcinoma: toward zero hospital deaths. Ann Surg. 1999; 229: 322-330.
Thompson HH, Tompkins RK, Longmire WP Jr. Mayor hepatic resection: a 25- years experience. Ann Surg. 1983; 197: 375 - 388.
Martin R, Paty P, Fong Y, et al. Slrnultaneous liver and colorectal resectlons are safe for synchronous colorectal liver metastasis. JAmCollSurg. 2003; 197: 233-241.
Kammula US, Buell JF, Labow DM, et al. Surgical management of benlgn tumors of the liver. mt j Gastrolntest Cancer. 2001; 30: 141 - 146.
Belghiti J, Hiramatsu K, Benoist S, et al. Seven hundred forty - seven hepatectomies lii the 1990s: an update to evaluate (he actual risk of liver resection. J Am Coll Surg. 2000; 191:38 - 46.
S. Dimick JB, Cowan JA Jr, Knol JA, et al. Hepatic resection in the United States: indications, outcomes, and hospital procedural volumes from a nationally representative database. Arch Surg. 2003; 138: 185- 191.
Das BC, Isaji S, Kawarada Y. Analysis of 100 consecutive hepatectomies: risk factors in patients with liver cirrhosls or obstructive jaundice. World J Surg. 2001; 25: 266-272.
Castlng D, Bismuth H, Borie D. Techniques des hépatectomies. Encycl. Méd.Chi (Elsevier, Paris - France), Technlques Chirurgicales -Apparell Digestif 40 -763, 1999.
Dindo D, Demartines N, Clavien PA. Classification of surgical complications. A new proposal with evaluation in a cohort of 6336 patients and results of survey. Ann Surg. 2004;240: 205-213.
Parks RW, Garden OJ. Liver resection for cancer. World J Gastroenterol. 2001; 7: 766 - 771.
Shimada M, Takenaka K, Taguchl K, et al. Prognostic factors after repeat hepatectomy for recurrent hepatocellular carcinoma. Ann Surg. 1998; 227: 80-85.
Mlnagawa M, Makuuchi M, Takayama T. et al. Sectlon entena for repeat hepatectomy in patients wlth recurrent hepatocelluiar carcinoma. Ann Surg 2003; 238: 703-710.
Turunen MJ, Huikurl K, Lempinen WP Jr. Mayor hepatic resections for prlmary and secondary malignancies of the liver. Ann Chir Gynaecol. 1986; 75:209-214.
Nagorney DM, van Heerden JA, I1strup DM, et al. Primary hepatic malignancy: surgical management and determinants of survival. Surgery. 1989; 106: 740-748.
Tsao JI, Loftus JP Nagorney DM, et al. Trends In morbidity and mortality of hepatic resection for malignancy: a matched comparative analysis.Ann Surg. 1994; 220: 199- 205.
Ponn RT, Tat FS, Lo CM, et al. Improving perloperative outcome expands the role of hepatectomy in managment of benign and malignarit hepatobiliary deseases. Analysis of 1222 consecutive patients from a prospecUve database. Ann Surg. 2004;240: 698-710.
Dimick JB, Pronovost PJ, Cowan JA Jr, et al. Postoperative complication rates after hepatic resection in Maryland hospitais. Arch Surg. 2003; 138: 41 -46.
Coelho JCU, Claus CMF Machuca TN, et al. Liver resection: 10 - years experience from single institution. ArgGastroenterol. 2004; 229: 233.
Noguchi T, Imal T, Mizumoto R. Prospective estimation of surgical risk of hepatectomy in clrrhotic patients. Hepatogastroenterol. 1990; 37: 165- 171.
Jamanaka N, Okamoto E, Kuwata N. A multlple regreslon equation for prediction of post - hepatectomy liver failure. Ann Surg. 1984; 200: 658-663.
Miyagawa S, Makuuchi M, Kawasaki, et al. Cniteria for safe hepatic resection. Am J Surg 1995; 169: 589-594.
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