An 8-year experience of hepatic resection: indications and outcome

The British Journal of Surgery
M D FinchO J Garden

Abstract

Most reports highlighting decreasing operative morbidity and mortality rates following hepatic resection have focused on the management of metastatic disease. Information on the full range of hepatic disease is lacking. The indications for hepatic resection in a specialist hepatobiliary unit have been reviewed and the operative morbidity and mortality rates assessed. Among 129 patients undergoing 133 hepatic resections between October 1988 and September 1996, the principal indication for resection was hepatic malignancy (102 resections), metastatic in 66 cases. Other indications included contiguous tumour (n = 20), primary tumour (n = 16) and benign disease (n = 31). Some 116 procedures were classical anatomical resections. Blood transfusion was required in 40 per cent of cases but major morbidity occurred in 20 per cent. There were six deaths following surgery, five of which were due to hepatic failure and followed resection for malignancy or trauma. The 3-year survival rate in patients resected for colorectal metastases was 65 per cent. This experience has demonstrated an increasing role for hepatic resection in a wide variety of hepatobiliary pathologies. Despite the low postoperative mortality rate, the significant risk of ...Continue Reading

References

Dec 1, 1992·The British Journal of Surgery·T G JohnO J Garden
Jun 1, 1992·The British Journal of Surgery·G MenthaA Rohner
Jul 1, 1989·Annals of Surgery·H BismuthO J Garden
Oct 1, 1988·Annals of Surgery·S Iwatsuki, T E Starzl
Apr 1, 1987·The British Journal of Surgery·H A BradpieceL H Blumgart
Dec 1, 1985·American Journal of Surgery·F A MooreA Seagraves
Nov 1, 1993·The British Journal of Surgery·C M GuthrieD C Carter
Aug 1, 1994·The British Journal of Surgery·N HabibA Bean
Mar 1, 1995·The British Journal of Surgery·R DociM G Bonalumi
Nov 1, 1994·The British Journal of Surgery·A W Hemming, B Langer
Nov 1, 1994·Annals of Surgery·Y FongM F Brennan
Aug 1, 1994·Archives of Surgery·K TakenakaK Sugimachi
Aug 1, 1994·The Australian and New Zealand Journal of Surgery·R W StrongT H Ong
Jul 1, 1996·The British Journal of Surgery·N Neeleman, R Andersson
Nov 1, 1996·The British Journal of Surgery·M ReesS Bygrave

❮ Previous
Next ❯

Citations

Mar 10, 1999·Liver Transplantation and Surgery : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·M J WiezerP A van Leeuwen
Jan 29, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·A Marcos
Oct 12, 2012·Langenbeck's Archives of Surgery·Adriana ToroIsidoro Di Carlo
Apr 24, 2009·Journal of Clinical Immunology·Philip A EfronAlan W Hemming
Feb 13, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Bolanle AsiyanbolaTimothy M Pawlik
Jul 18, 2000·Journal of the American College of Surgeons·J BelghitiO Farges
Sep 6, 2000·The British Journal of Surgery·M S Rodgers, J L McCall
Feb 13, 2001·The British Journal of Surgery·K J Fernando, A K Siriwardena
Jan 2, 2007·Annals of Surgery·Reeta VeteläinenThomas M van Gulik
Dec 3, 2014·Surgical Oncology Clinics of North America·Maria C Russell
Jul 3, 2013·World Journal of Surgery·Tian YangMeng-Chao Wu
Jan 3, 2012·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M PaiN A Habib
Mar 30, 2010·Journal of the American College of Surgeons·Amit D TevarMichael L Edwards
Dec 1, 2004·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·R A E ClaytonO J Garden
Jul 24, 2008·Liver International : Official Journal of the International Association for the Study of the Liver·Maartje A J van den BroekFuat H Saner
Feb 12, 2009·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Yasuji Seyama, Norihiro Kokudo
Jun 24, 2005·American Journal of Surgery·Elijah DixonFrancis Sutherland
Nov 9, 2016·International Journal of Surgery Case Reports·Lin ZhuangDong Xi
Sep 26, 2002·The British Journal of Surgery·T TerkivatanJ N M IJzermans
Jun 20, 2006·Scandinavian Journal of Gastroenterology. Supplement·Türkan TerkivatanJan N M Ijzermans
Aug 25, 2007·American Journal of Physiology. Gastrointestinal and Liver Physiology·Marcel C G van de PollCornelis H C Dejong
Oct 31, 2006·World Journal of Gastroenterology : WJG·Theodoros PetsasDimitrios Kardamakis
Feb 21, 2002·World Journal of Gastroenterology : WJG·R W Parks, O J Garden
Jan 28, 2015·World Journal of Gastroenterology : WJG·Ying GongYang-Yang Ma

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.