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Clinical application of precise liver resection techniques in patients with complicated liver space-occupying lesions / 中华外科杂志

Jia-hong DONG; Shi-zhong YANG; Wei-dong DUAN; Wen-bin JI; Shou-wang CAI; Jing WANG; Xian-jie SHI; Kai JIANG; Hong-tian XIA; Lei HE; Wen-zhi ZHANG; Xiao-qiang HUANG; Zhi-qiang HUANG.
Chinese Journal of Surgery ; (12): 1610-1615, 2009.
Artículo en Zh | WPRIM | ID: wpr-291047
<p><b>OBJECTIVE</b>To evaluate the early results of precise liver resection.</p><p><b>METHODS</b>Between May 2006 and June 2009, 65 patients with complicated liver space-occupying lesions were included in the study. Fifty-one patients underwent curative liver resection. Liver resections performed included 16 trisectionectomies, 11 hemihepatectomy, 5 meso hepatectomies, 3 combined segmentectomies, 5 caudate lobectomies and 11 irregular local resections.</p><p><b>RESULTS</b>Patients undergoing resection had no mortality with a major morbidity of 9.8%. Nineteen vascular repairs and reconstructions were patent at last follow-up. The postoperative 1-year survival rate was 100% in 10 patients with benign lesions and 92.7% in 41 patients with malignant tumors. The 1-year survival rate was zero in patients with malignant tumors, who underwent no liver resection.</p><p><b>CONCLUSIONS</b>Precise liver resection, as an aggressive surgical approach, offers hope for these patients, who would otherwise have a dismal prognosis.</p>
Biblioteca responsable: WPRO