RESUMO
An analysis of results of surgical treatment of 91 patients with postoperative biliary peritonitis has shown that frequency of postoperative biliary peritonitis depended on the volume and character of operative interventions, as well as on technical errors made at the preoperative period and during operation. The presence of latent hepatic insufficiency made for the development of polyorganic insufficiency, had negative influence on the course of the disease and might be one of the causes of high postoperative lethality (up to 23.1%) in this category of patients.
Assuntos
Bile , Peritonite/etiologia , Complicações Pós-Operatórias , Adulto , Idoso , Feminino , Seguimentos , Humanos , Laparotomia/métodos , Masculino , Pessoa de Meia-Idade , Peritonite/cirurgia , Resultado do Tratamento , Adulto JovemAssuntos
Cuidados Críticos/métodos , Fígado , Traumatismo Múltiplo , Ferimentos não Penetrantes , Ferimentos Penetrantes , Adolescente , Adulto , Idoso , Angiografia , Feminino , Hepatectomia , Humanos , Laparoscopia , Fígado/irrigação sanguínea , Fígado/lesões , Fígado/cirurgia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Traumatismo Múltiplo/diagnóstico , Traumatismo Múltiplo/cirurgia , Ferimentos não Penetrantes/diagnóstico , Ferimentos não Penetrantes/cirurgia , Ferimentos Penetrantes/diagnóstico , Ferimentos Penetrantes/cirurgiaRESUMO
Experience of radical surgical treatment in 253 patients with hepatic echinococcosis is presented. Twenty-six patients underwent hepatic resection; 218, pericystectomy, 9 patients, combined interventions. Based on comparative analysis of the results of surgical treatment in 109 patients from the study and control groups, it is concluded that radical operations have significant advantages and show fever postoperative complications and recurrences. Removal of fibrous capsule is a token of successful treatment for hepatic echinococcosis.
