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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Format: | Article |
Language: | English |
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College of medicine/ University of Diyala
2018-06-01
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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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first_indexed | 2024-03-11T00:20:23Z |
format | Article |
id | doaj.art-48a48bffb445484484788ce57d7fd013 |
institution | Directory Open Access Journal |
issn | 2219-9764 2617-8982 |
language | English |
last_indexed | 2024-03-11T00:20:23Z |
publishDate | 2018-06-01 |
publisher | College of medicine/ University of Diyala |
record_format | Article |
series | Diyala Journal of Medicine |
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 |