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Updated: Aug 14, 2026
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Insights
Pediatric hepatic resections show that survival depends on remaining liver function and expert care. Careful management minimizes complications like hypovolemia and intra-abdominal sepsis.
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.
- 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.
Abstract:
An experience with 31 hepatic resections in children has demonstrated that mortality and morbidity are primarily determined by percentage of normally functioning liver retained as well as by the experitse of both intraoperative and postoperative care. Criteria for resectability in neoplasia and trauma can readily be established. Early peripheral hypovolemia due to splanchnic pooling was observed frequently, while drains appeared to favor significantly the development of intra-abdominal spesis. Bleeding diatheses did not occur. An inability of the patient to maintain blood glucose and serum albumin were the sole metabolic derangements necessitating replacement therapy. The over-all mortality rate was 13%, with survival of two of four children subjected to 90% resections.
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