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Related Experiment Videos

Major hepatic resections in children.

H H Stone

    Journal of Pediatric Surgery
    |February 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Pediatric hepatic resections show that survival depends on remaining liver function and expert care. Careful management minimizes complications like hypovolemia and intra-abdominal sepsis.

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    Area of Science:

    • Pediatric Surgery
    • Hepatobiliary Surgery
    • Surgical Oncology

    Background:

    • Hepatic resections in children are complex procedures.
    • Outcomes are influenced by various surgical and patient factors.

    Purpose of the Study:

    • To analyze outcomes of pediatric hepatic resections.
    • To identify key determinants of mortality and morbidity.

    Main Methods:

    • Retrospective review of 31 pediatric hepatic resections.
    • Evaluation of intraoperative and postoperative care.
    • Assessment of resectability criteria for neoplasia and trauma.

    Main Results:

    • Mortality and morbidity linked to retained functioning liver and surgical expertise.

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  • Early peripheral hypovolemia and drain-associated sepsis were observed.
  • Metabolic support for glucose and albumin was occasionally needed.
  • Overall mortality was 13%; 50% survival in 90% resections.

    • Conclusions:

    • Expert surgical and postoperative care is crucial for pediatric hepatic resections.
    • Careful patient selection and management can improve outcomes.
    • Significant hepatic resection is feasible with acceptable survival rates.