Prevention of Liver Failure in Extended Hepatic Resection

Background. Postoperative failure is a major cause of adverse outcomes in extensive liver resection. Post-resection requires intensive, including extracorporeal, care. Issues correcting warrant novel approaches to prevent severe cases. Materials and methods. A retrospective analysis 228 various-extent resections included minor (55.7 %), (26.8 %) extended (17.5 operations for malignant, benign parasitic lesions. The post-resection rate has ben graded according ISGLS. Results discussion. hepatic developed 58 (25.4 cases, 5 127 (3.9 resections, 18 (29.5 35 40 (87.5 %). Mild class failures were reported 12.3 %, classes B C — 9.2 % 3.9 respectively. CT volumetry place the number resected segments suggested as criterion grade expected residual liver, with >70 defining minor, 36–70 25–35 liver. two-staged resection approach proposed reduce postoperative failure, vascular radiology-guided right portal vein embolisation (RPVE) or associating partition ligation (ALPPS) at stage 1. comparison ( n = 40) showed significantly higher severity single- vs. p < 0.05). Conclusion. Liver leading death Preoperative allows more accurate volumetric control Two-staged can reliably failure.