Abstract

NARI, Gustavo et al. Liver resection without advanced technologies: Eight years experience. rev. colomb. cir. [online]. 2011, vol.26, n.1, pp.48-55. ISSN 2011-7582.

Background: Liver resection is a major type of surgery. Advanced technology as used in different centers constitutes an important support for its adequate performance. Aim: To compare our results without the use of advanced technologies with those of centers that have them available. Hypothesis: Technology is not indispensable in liver resection. Setting: Clínica Sucre, a tertiary level of care private Center. Design: Observational retrospective and transverse analysis. Material and methods: 72 hepatectomies performed in 68 patients were analyzed. Sex, age, pathology, type of liver resection, associated procedures, blood transfusion, hospital stay, morbidity and mortality rates were evaluated. Parenchymal section was made with “kellyclasie”. In the transection surface a warm water soaked-up compress was placed for a few minutes. Results: there were 21 major hepatectomies. In 19 opportunities an associate procedure was required. Cirrothic liver was present in 14 patients. Blood transfusion was used in 26 cases (transfusional media 807.6 ml), 6 of them with normovolemic hemodilution. Surgical time showed a media of 112 minutes. Morbidity rate was 34.72 % and mortality rate 5.5 %. Conclusion: Our results are similar to those published by centers that use advanced technology for liver resection.

Keywords : liver diseases; liver circulation; surgery; biomedical technology; treatment outcome.

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