Effect Comparison of Different Managements of Hepatic Remnant Facet during Hepatectomy on Postoperative Complications
- VernacularTitle:肝癌切除术中不同的肝断面处理方式对术后并发症的影响
- Author:
Si CHEN
1
;
Yinghao SHEN
;
Ning REN
Author Information
1. 复旦大学附属中山医院肝肿瘤外科
- Keywords:
Liver neoplasms;
Hepatectomy;
Hepatic remnant facet;
Complications
- From:
Chinese Journal of Clinical Medicine
2014;(5):549-550,552
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the complications of patients with hepatic remnant facet closed to those with hepatic remnant facet opened during Hepatectomy.Methods:Clinical data of 58 patients who underwent hepatectomy from January 2013 to Feb-ruary 2013 were retrospectively analyzed.Hepatic remnant facet was entirely closed in 30 cases(close group)and opened in 28 cases(open group).Postoperative abdominal drainage,duration of fever,liver function and complication rate in the two groups were observed.Results:The amount of abdominal drainage on day 3 in open group was more than that in close group(P <0.05).The level of alamine aminotransferase on day 1 after operation in close group was higher than that in open group(P <0.05).There was no significant difference on observational indexes after surgery between the two groups in mild and moderate hepatocirrhosis.Conclusions:The appropriate management of hepatic remnant facet should be chosen according to specific sta-tus of operation so as to reduce postoperative complications.