Postoperative complications after liver resection in patients with focal lesions

Abstract

Aims: To study the main complications in the immediate postoperative period after resection of the liver of various sizes in patients with focal diseases. To conduct a comparative analysis of the frequency of complications depending on the volume of surgical intervention and the assessment of prognostic factors for the timely detection of post-resection complications. Material and methods: A retrospective analysis was performed in 97 patients with focal liver diseases who were undergoing surgical treatment from 2010 to 2016. Of 97 patients undergoing liver resection, 26 noted various complications in the immediate postoperative period. Results: The most common complication is suppuration of the surgical wound (37.1%), pleural effusion (22.6%), liver failure (19.5%), persistent ascites (7.2%), less common complications included biliary fistulas (2%), thrombophlebitis (2%) and intra-abdominal bleeding (1%). An important point affecting the results of surgical treatment was the volume of the resected liver, respectively, and the complication rate reached in 33.3% - 50% of cases. Conclusion: A connection was found between the use of extensive liver resection, a change in the immunological status and the occurrence of various complications, despite the standard management of patients.

Keywords

• infections
• postoperative complications
• liver resection
• risk factors