Abstract

ABSTRACT:
BACKGROUND:
Major hepatectomies consider one of the most challenging procedure and did not become
commonplace until the dramatic improvement in periopertive care in the 1980s.
OBJECTIVE:
Review the outcome of liver resection performed recently in Gastroenterology& Hepatology
Teaching Hospital .
PATIENTS AND METHOD:
From June 2008 to March 2011, nine major anatomic hepatic resection was performed. Enucleation,
Non- anatomic or wedge resection was excluded from this study.
RESULTS:
There were 4 men, 4 women and one child. Age range between 5-43 years median age 40 years.
Nine major resection was done this include; extended right hepatectomy 1 patient, right hepatectomy
2 patients, left hepatectomy 3patients, left lateral lobectomy 2 patients, right anterior sectionectomy
one patient. The inflow pedicle was controlled either by extrahepatic approach in 6 patients or
intrahepatic pedicle ligation by vascular stapler in 3 patients. Post-operative hospitalization was 3-16
days, median 8 days. There were no mortality. Two patients developed bile leak in form of biloma
which was treated by percutaneous drainage under ultrasound for 2weeks. Two patients develop
intra-operative hypothermia that led to stop the operation for one hour until warming of the patient.
CONCLUSION:
Major liver resection can be performed in our hospital with acceptable morbidity rate.