[Complications after resection of the liver]

On the basis of experience in 228 radical resections of the liver (3.9% lethality) for focal affections, the authors analyze the causes of occurrence and measures of prevention of the main postoperative complications. The following factors play a role in the development of complications after liver resection: the patient's age, the character of the main and concomitant pathology, the volume of the operation and intraoperative blood loss, and the method of drainage. The prevention of postoperative complications is based on careful selection of patients for the operation, preoperative management, sparing operative techniques, adequate anesthesiological and trans-infusion service during the intervention, the use of cryoapparatuses and active management in the early postoperative period.