Clinical application of precise liver resection techniques in patients with complicated liver space-occupying lesions.
- Author:
Jia-hong DONG
1
;
Shi-zhong YANG
;
Wei-dong DUAN
;
Wen-bin JI
;
Shou-wang CAI
;
Jing WANG
;
Xian-jie SHI
;
Kai JIANG
;
Hong-tian XIA
;
Lei HE
;
Wen-zhi ZHANG
;
Xiao-qiang HUANG
;
Zhi-qiang HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Female; Hepatectomy; methods; Humans; Liver; surgery; Liver Diseases; surgery; Male; Middle Aged; Prognosis; Retrospective Studies
- From: Chinese Journal of Surgery 2009;47(21):1610-1615
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the early results of precise liver resection.
METHODSBetween May 2006 and June 2009, 65 patients with complicated liver space-occupying lesions were included in the study. Fifty-one patients underwent curative liver resection. Liver resections performed included 16 trisectionectomies, 11 hemihepatectomy, 5 meso hepatectomies, 3 combined segmentectomies, 5 caudate lobectomies and 11 irregular local resections.
RESULTSPatients undergoing resection had no mortality with a major morbidity of 9.8%. Nineteen vascular repairs and reconstructions were patent at last follow-up. The postoperative 1-year survival rate was 100% in 10 patients with benign lesions and 92.7% in 41 patients with malignant tumors. The 1-year survival rate was zero in patients with malignant tumors, who underwent no liver resection.
CONCLUSIONSPrecise liver resection, as an aggressive surgical approach, offers hope for these patients, who would otherwise have a dismal prognosis.
