[Extensive hepatic resections and reconstruction of bile ducts in patients with tumors and parasitic cysts]. / Obshirnye rezektsii pecheni i rekonstruktsiia zhelchevyvodiashchikh putei pri opukholiakh i parazitarnykh kistakh.

ABSTRACT

The short-term and end results of hemihepatoectomies (36) associated with malignant (31) and benign (2) hepatic tumors and parasitic cysts (3) are presented (total right-side hemihepatectomy-7, subtotal-9, left-side hemihepatectomy-15, extended left-side hemihepatectomy-5). In 14 cases, due to considerable invasion of tumor from other sites or because of distant metastases, the liver was resected alongside with removal of primary tumor. In such patients, gastric extirpation was carried out simultaneously with resection of the esophagus and pancreas (4), colon and rectum (8) and gastropancreatoduodenal area (1). Liver resection was associated with surgical correction of biliary tracts (6). Post-operative lethality was 11.1%. The end results are quite satisfactory out of 27 patients treated for primary (10) and secondary (17) hepatic malignancies, 15 survived 2 years, 8-4 years and more; there are 10 survivors at the time of reporting.