Major hepatectomies consider one of the most challenging procedure and did not become
commonplace until the dramatic improvement in periopertive care in the 1980s.
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.
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.
Major liver resection can be performed in our hospital with acceptable morbidity rate.