Current status of hepatic resection Journal Article
| Authors: | Allen, P. J.; Jarnagin, W. R. |
| Article Title: | Current status of hepatic resection |
| Abstract: | During the past 2 decades, an improved understanding of hepatic anatomy and advances in surgical technique have allowed for hepatic resection to be performed with operative mortality rates between 1% and 5%. With this low mortality, hepatic resection is now well established as a safe and effective therapy for patients with a wide array of benign and malignant hepatobiliary disease, and the indications for its use continue to evolve. Hepatic resection using low CVP anesthesia with vascular inflow and outflow control before parenchymal transection is a safe, reliable, and effective approach and provides excellent results. Parenchymal-sparing techniques should be used whenever feasible technically, and in patients with preoperative hepatic dysfunction. For those who require a major sacrifice of functional parenchyma, PVE may reduce operative morbidity and should be considered. Minimally invasive techniques should only be used in the setting of benign or small malignant lesions located peripherally. Advances in laparoscopic equipment and techniques will undoubtedly expand the use of these techniques and is the next frontier in hepatic resectional surgery. Copyright 2003, Mosby, Inc. All rights reserved. |
| Keywords: | treatment outcome; surgical technique; survival rate; mortality; review; artificial embolism; patient selection; liver neoplasms; comparative study; methodology; treatment indication; pathology; risk assessment; colorectal carcinoma; postoperative complication; postoperative complications; standard; length of stay; liver metastasis; hospitalization; severity of illness index; liver tumor; forecasting; liver resection; surgical mortality; minimally invasive surgery; liver disease; hepatectomy; liver diseases; surgical procedures, minimally invasive; bile duct carcinoma; perioperative period; bile duct obstruction; medical documentation; gallbladder carcinoma; liver parenchyma; postoperative hemorrhage; liver adenoma; liver lobectomy; portal vein; hemangioma; common bile duct cyst; liver sarcoma; humans; prognosis; human; male; female; liver hydatid cyst |
| Journal Title: | Advances in Surgery |
| Volume: | 37 |
| ISSN: | 0065-3411 |
| Publisher: | Mosby Elsevier |
| Date Published: | 2003-01-01 |
| Start Page: | 29 |
| End Page: | 49 |
| Language: | English |
| PUBMED: | 12953626 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Export Date: 25 September 2014 -- Source: Scopus |
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