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[Complications of the hepatectomies]
Maghreb Medical. 2007; 27 (385): 427-430
em Francês | IMEMR | ID: emr-134625
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
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Índice: IMEMR (Mediterrâneo Oriental) Assunto principal: Complicações Pós-Operatórias / Estudos Retrospectivos / Assistência Perioperatória Limite: Feminino / Humanos / Masculino Idioma: Francês Revista: Maghreb Med. Ano de publicação: 2007

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Índice: IMEMR (Mediterrâneo Oriental) Assunto principal: Complicações Pós-Operatórias / Estudos Retrospectivos / Assistência Perioperatória Limite: Feminino / Humanos / Masculino Idioma: Francês Revista: Maghreb Med. Ano de publicação: 2007