Outcome of Major Liver Resection in Gastroenterology & Hepatology Teaching Hospital Review of Nine Cases

Abstract

ABSTRACT:BACKGROUND:Major hepatectomies consider one of the most challenging procedure and did not becomecommonplace until the dramatic improvement in periopertive care in the 1980s.OBJECTIVE:Review the outcome of liver resection performed recently in Gastroenterology& HepatologyTeaching Hospital .PATIENTS AND METHOD:From June 2008 to March 2011, nine major anatomic hepatic resection was performed. Enucleation,Non- anatomic or wedge resection was excluded from this study.RESULTS:There were 4 men, 4 women and one child. Age range between 5-43 years median age 40 years.Nine major resection was done this include; extended right hepatectomy 1 patient, right hepatectomy2 patients, left hepatectomy 3patients, left lateral lobectomy 2 patients, right anterior sectionectomyone patient. The inflow pedicle was controlled either by extrahepatic approach in 6 patients orintrahepatic pedicle ligation by vascular stapler in 3 patients. Post-operative hospitalization was 3-16days, median 8 days. There were no mortality. Two patients developed bile leak in form of bilomawhich was treated by percutaneous drainage under ultrasound for 2weeks. Two patients developintra-operative hypothermia that led to stop the operation for one hour until warming of the patient.CONCLUSION:Major liver resection can be performed in our hospital with acceptable morbidity rate.