The authors report a survey of 400 liver resections performed over a ten-year period. Two hundred and sevety-seven and forty-seven patients underwent surgery for primary or secondary liver tumors, 14 for traumas, 109 for benign tumors or for other indications. One hundred and nine patients were cirrhotic. The operative mortality rate in the elective resections of non-cirrhotic livers (277 cases) was 1.4%, in resections in the presence of cirrhosis 9.1% and in emergency operations for traumas 28.5%. There were no deaths in the operations for benign resections. Survival after 3 years was 48% for non-cirrhotic hepatocarcinoma, 55.6% for tumors with cirrhosis and 32.6% in resections for metastases. The importance of anatomical surgery guided by intraoperative ultrasonography is stressed with the consequent limitation of blood losses.
|Translated title of the contribution||Experience with 400 liver resections|
|Number of pages||11|
|Publication status||Published - 1992|
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