[Liver resections. Malignant diseases of the liver]

Proceeding from current literature data, personal experience had with resection surgery of the liver, carried out in a series of 64 patients, operated in the clinic of hepatobiliary and pancreatic surgery over the period 1984 through 1994, is analyzed. Thirty-four patients are operated on for benign, and 30--for malignant conditions, with five of the latter group presenting primary tumor of the liver. Seven partial resections, 33 segmentectomies and 24 lobectomies--7 typical and 17 atypical; 6 right and 18 left resections, are performed. Operative lethality in the total series amounts to 0 per cent. The early postoperative lethality in benign diseases is 0 per cent, and in complicated cases--2.9 per cent. In patients with malignant lesions--6.7 and 10 per cent, respectively. The indications for operative treatment, and the possibilities of other therapeutic approaches are discussed.