Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions

  Background:Liver resection is the curative treatment for focal liver lesions. It is one of the high risk surgical procedures performed by experienced surgeons.  Objective: To evaluate the different types of liver resections methods and associated factors related to morbidity and mortality i...

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Main Authors: Musafir Atea Hashim, Bashar Abbas Abdul-Hassan, Salah Obaid Hamad
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2018-06-01
Series:Diyala Journal of Medicine
Online Access:https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/32
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author Musafir Atea Hashim
Bashar Abbas Abdul-Hassan
Salah Obaid Hamad
author_facet Musafir Atea Hashim
Bashar Abbas Abdul-Hassan
Salah Obaid Hamad
author_sort Musafir Atea Hashim
collection DOAJ
description   Background:Liver resection is the curative treatment for focal liver lesions. It is one of the high risk surgical procedures performed by experienced surgeons.  Objective: To evaluate the different types of liver resections methods and associated factors related to morbidity and mortality in Gastroenterology Hospital and Baghdad Teaching Hospital. Patients and Methods: This prospective study included 35 patients (age range 28-58 years, 15 male and 20 female) with focal liver lesions during the period from November, 2013 to February 2016. Fourteen patients were asymptomatic while the other patients were complaining form different symptoms. Preoperative assessment included liver and renal function tests, tumor markers and radiological investigations. Patients were followed up for one month for postoperative short-term complications. Results: Bleeding was the most serious perioperative complication and all patients required blood transfusion. Eight hepatic resection methods were employed, and 8 types of lesions were detected, of which metastatic colorectal adenocarcinoma and cavernous hemangioma are the most prevalent (34.29% and 22.57% respectively). The duration of surgery ranged from 100 min in wedge resection to 300 min in different types of hepatectomy with average 8 days hospital stay. The most prevalent short-term complications were fever and atelectasis and wound infection (37.14% and 22.57% respectively). Conclusion:Most evaluation criteria are comparable with that reported in global series, and accordingly, our center could perform different types liver resection. Key words: Hepatic resection, focal liver lesions.
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spelling doaj.art-48a48bffb445484484788ce57d7fd0132023-11-18T23:18:26ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822018-06-01141Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver LesionsMusafir Atea HashimBashar Abbas Abdul-HassanSalah Obaid Hamad   Background:Liver resection is the curative treatment for focal liver lesions. It is one of the high risk surgical procedures performed by experienced surgeons.  Objective: To evaluate the different types of liver resections methods and associated factors related to morbidity and mortality in Gastroenterology Hospital and Baghdad Teaching Hospital. Patients and Methods: This prospective study included 35 patients (age range 28-58 years, 15 male and 20 female) with focal liver lesions during the period from November, 2013 to February 2016. Fourteen patients were asymptomatic while the other patients were complaining form different symptoms. Preoperative assessment included liver and renal function tests, tumor markers and radiological investigations. Patients were followed up for one month for postoperative short-term complications. Results: Bleeding was the most serious perioperative complication and all patients required blood transfusion. Eight hepatic resection methods were employed, and 8 types of lesions were detected, of which metastatic colorectal adenocarcinoma and cavernous hemangioma are the most prevalent (34.29% and 22.57% respectively). The duration of surgery ranged from 100 min in wedge resection to 300 min in different types of hepatectomy with average 8 days hospital stay. The most prevalent short-term complications were fever and atelectasis and wound infection (37.14% and 22.57% respectively). Conclusion:Most evaluation criteria are comparable with that reported in global series, and accordingly, our center could perform different types liver resection. Key words: Hepatic resection, focal liver lesions. https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/32
spellingShingle Musafir Atea Hashim
Bashar Abbas Abdul-Hassan
Salah Obaid Hamad
Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions
Diyala Journal of Medicine
title Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions
title_full Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions
title_fullStr Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions
title_full_unstemmed Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions
title_short Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions
title_sort evaluation of hepatic resection procedures for benign and malignant focal liver lesions
url https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/32
work_keys_str_mv AT musafirateahashim evaluationofhepaticresectionproceduresforbenignandmalignantfocalliverlesions
AT basharabbasabdulhassan evaluationofhepaticresectionproceduresforbenignandmalignantfocalliverlesions
AT salahobaidhamad evaluationofhepaticresectionproceduresforbenignandmalignantfocalliverlesions