[Liver resection for non tumoral liver disease. Multicentric experience in Argentina]. / Hepatectomía en patología hepática no tumoral. experiencia multicéntrica en Argentina.
Acta Gastroenterol Latinoam
; 44(2): 114-20, 2014 Jun.
Article
in Es
| MEDLINE
| ID: mdl-25199305
ABSTRACT
BACKGROUND:
The role of liver resection (LR) in patients with non-tumoral hepatic disease (NTHD) remains controversial.OBJECTIVE:
To analyze the indications and outcomes of liver resections in patients with NTHD.METHODS:
A retrospective analysis in a multicentric data base was performed. Outcome measures were incidence of postoperative cholangitis, infectious and non-infectious complications, hospital stay and overall mortality.RESULTS:
One hundred and fourteen patients underwent LR due to NTHD from January 2001 to November 2011. Fourteen patients presented complex bile duct injuries (CBDI), 18 intra-hepatic lithiasis (IL), 32 liver hydatid cysts (LHC), 10 polycystic liver disease (PLD), 19 Caroli's disease (CD) and 21 other NTHD. Forty seven patients underwent a major hepatectomy and 67 a liver segmentectomy or an atypical liver resection. Thirty four patients (29%) presented surgical related complications. There was not intra or post-operative mortality. In long term outcomes, 98 patients (85%) were asymptomatic, 10 presented episodes of intermittent cholangitis that were treated with antibiotics, and 7 underwent another surgical procedure.CONCLUSIONS:
LR is a radical and effective procedure to treat benign NTHD instead of other surgical or percutaneous procedures, avoiding multiple sessions of treatment and high post procedure complications rates.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Liver Diseases
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do sul
/
Argentina
Language:
Es
Journal:
Acta Gastroenterol Latinoam
Year:
2014
Document type:
Article