COMPLICATIONS AFTER HEPATECTOMY

Area of Science:

• Hepatobiliary surgery
• Surgical oncology
• Colorectal cancer metastasis

Background:

• Complete resection of colorectal liver metastases is the only curative treatment.
• Surgical complications significantly impact long-term prognosis and oncological results.
• Morbidity rates for liver resection range from 15% to 50%, increasing mortality and recurrence.

Purpose of the Study:

• To review the complications associated with liver resection for colorectal metastases.
• To emphasize the importance of patient selection and preoperative care in preventing adverse outcomes.

Main Methods:

• Literature review on surgical outcomes and complications in colorectal liver metastases.
• Analysis of common postoperative complications including biliary fistula and liver failure.
• Discussion of management strategies for complications.

Main Results:

• Biliary fistula and liver failure are the most critical complications post-liver resection.
• Prophylactic drainage is ineffective in preventing fistulas or hemorrhage.
• Management of grade B and C fistulas may require drainage, endoscopic intervention, or surgery.
• Liver failure is a life-threatening complication with limited treatment options.

Conclusions:

• Careful patient selection and thorough preoperative assessment are paramount for preventing liver failure after resection.
• Minimizing postoperative complications is crucial for improving survival and reducing recurrence rates in colorectal liver metastases treatment.