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2004, Number 2

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Cir Cir 2004; 72 (2)

Evaluation of hepatic resections in patients with benign and malignant lesions

Al-Awad A, Valderrama-Landaeta JL, Chow-Lee G, Zambrano VH, Arias-Fuenmayor E

Language: Spanish
References: 43
Page: 105-112
PDF size: 70.33 Kb.


ABSTRACT

Objective: To evaluate hepatic resections in patient with benign and malign lesions during the years 1997 to 2002 at the Autonomous University Hospital Service of Maracaibo Venezuela. Materials: We were carried out 18 hepatic resections for benign and/or malignant lesions; traumatic and infectious lesions were excluded. Results: The female sex prevailed with 77.7% and age ranged between third and fourth decade. Three asymptomatic patients (16.6%) and 83.3% symptomatic; pain in upper hemiabdomen 80%. Ultrasonography was employed in 94.4% of cases, TAC 83.3%, FNAB 27.7%, arteriography 22.2%, Echo-Doppler 16.6%, laparoscopy 11.1%, hepatics cintillogram and CPRE, 5.5%. Minor resections represented 61.1%. Major hepatic resections represented 38.8%, with prevalence of left hepatectomy (33.3%). Blood loss was greates in major hepatic resections with average of 1,242.9 ± 827.8 ml. Pringles maneuver was carried out in 90% with duration average of 8.5 min; morbidity was 16.6%. Benign tumours prevailed with 66.6%. Conclusion: The technique of resection with intraparenchymatous identification of pedicles makes it, the most successful technique for hepatic resections.


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