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Related Experiment Videos

Major hepatic resection

H G Erath, J L Sawyers, J A O'Neill

    Southern Medical Journal
    |June 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Major hepatic resections for severe trauma and elective conditions show improved outcomes. Mortality rates decreased significantly for both trauma and non-trauma patients undergoing liver surgery.

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    Area of Science:

    • Surgery
    • Trauma Surgery
    • Hepatobiliary Surgery

    Background:

    • Major hepatic resections are complex procedures.
    • Hepatic trauma, particularly blunt trauma, necessitates significant surgical intervention.
    • Outcomes of hepatic resections have historically varied based on indication and severity.

    Purpose of the Study:

    • To evaluate the outcomes of major hepatic resections for severe hepatic trauma.
    • To compare the results of hepatic resections for trauma with those for tumor and other conditions.
    • To assess trends in mortality and morbidity over time for hepatic resections.

    Main Methods:

    • Retrospective review of 75 major hepatic resections performed between 1968 and 1978.
    • Analysis of 58 cases involving severe hepatic trauma, including blunt trauma.

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  • Comparison with 50 previously reported cases, totaling 125 major hepatic resections.

    • Main Results:

    • Mortality for hepatic trauma resections decreased from 33% to 28% (24% in the latter half).
    • Mortality for elective hepatic resections improved from 23% to 12%.
    • Postoperative complications and morbidity were reduced in the current series.

    Conclusions:

    • Major hepatic resections, even for severe trauma, have demonstrated improving survival rates.
    • Elective hepatic resections show a significant reduction in mortality and morbidity.
    • Surgical management of hepatic trauma and other conditions requiring major liver resection has advanced.