[Complications of the hepatectomies]

ABSTRACT

It is a retrospective study valuing the hepatectomies for all disconcerted indication. The interest is carried on the death rates, of morbidity and the middle length of hospitalization. On 5 years period [2001-2005], 81 patients have been have been included in our study. The indications of the hepatectomies were very disparate 26 cases of hepatocellular carcinoma, 13 cases of benign tumors, [7 cases of hydatid cysts, 5 cases of gallbladder's carcinoma, 19 cases of hepatic metastases and one case of hepatic abscess. We analyzed the factors of mortality and morbidity. We noted a masculine predominance of 61%. The middle age was 50 years. The achieved interventions were right or left hepatectomy in 32%des cases, sectorectomy or lobectomy in 39%of the cases and no typical resection in 29%of the cases. The rate of morbidity is of 28,3%, with 8 cases of ascitis, 5 cases of hemorrhages of the section slice, 3 cases of hepatocellular insufficiency, 2 cases of hematoma, 2 cases of parietal infection, one case of biliary wound, a case of hepatic encephalopathy and a case of reversible acute renal insufficiency on tubulo-interstitial necrosis. We deplore in our study a death rate of 3, 7%. The death rate and morbidity are influenced by the extent of the hepatic resection. This rate is in greatimprovement thanks to a better selection of the patients and indications. The use of the vascular clampage became widespread, and the resections parenchymateuses has been standardized, what decreased in a considerable way the complications in per and postoperative