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Liver Resection Surgery

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Upper Abdominal Surgery

Part of the book series: Surgery: Complications, Risks and Consequences ((SCRC))

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Abstract

Liver surgery has become possible and successful with the advancement of general anesthesia, blood transfusion, and perioperative intensive care support but remains a challenging and difficult area of general surgery. Technical advances, such as endoscopic retrograde cholangiopancreatography (ERCP), cell savers, and ultrasound dissectors have assisted, and refinements in diagnostic radiological techniques and interventional strategies have led to better selection and management of patients appropriate for surgery. This chapter aims to provide useful information on complications, risks, and consequences of a number of surgical liver resection procedures. For other associated procedures, refer to the relevant chapter and volume.

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Further Reading, References, and Resources

Limited Liver Resection (Segmentectomy, Sectorectomy, and Sector Resection)

  • Are C, Gonen M, Zazzali K, Dematteo RP, Jarnagin WR, Fong Y, Blumgart LH, D’Angelica M. The impact of margins on outcome after hepatic resection for colorectal metastasis. Ann Surg. 2007;246:295–300.

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  • DeMatteo RP, Palese C, Jarnagin WR, Sun RL, Blumgart LH, Fong Y. Anatomic segmental hepatic resection is superior to wedge resection as an oncological operation for colorectal liver metastases. J Gastrointest Surg. 2000;4:178–84.

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  • Fan ST, Lo CM, Liu CL, Lam CM, Yuen WK, Yeung C, Wong J. Hepatectomy for hepatocellular carcinoma: toward zero hospital mortality. Ann Surg. 1999;229:322–30.

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  • Fong Y, Brennan MF, Brown K, Heffernan N, Blumgart LH. Drainage is unnecessary after elective liver resection. Am J Surg. 1996;171:158–62.

    Google Scholar 

  • Ijichi M, Takayama T, Toyoda H, Sano K, Kubota K, Makuuchi M. Randomized trial of the usefulness of bile leakage test during hepatic resection. Arch Surg. 2000;135:1395–400.

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  • Paquet JC, Dziri C, Hay JM, Fingerhut A, Zeitoun G, Suc B, Sastre B. Prevention of abdominal complications with omentoplasty on the raw surface after hepatic resection. The French Associations for Surgical Research. Am J Surg. 2000;179:103–9.

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  • Tanaka S, Hirohashi K, Tanaka H, Shuto T, Lee SH, Kubo S, Takemura S, Yamamoto T, Uenishi T, Kinoshita H. Incidence and management of bile leakage after hepatic resection for malignant tumors. J Am Coll Surg. 2002;195:484–9.

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Extensive Liver Resection (Hepatic Lobectomy, Hemihepatectomy, and Extended Hepatectomy)

  • Blumgart LH, Fong Y. Surgery of the liver and biliary tract. New York: W.B. Saunders; 2000.

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  • Blumgart LH, Leach KG, Karran SJ. Observations on liver regeneration after right hepatic lobectomy. Gut. 1971;12:922–8.

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  • Fong Y, Brennan MF, Brown K, Heffernan N, Blumgart LH. Drainage is unnecessary after elective liver resection. Am J Surg. 1996;171:158–62.

    Google Scholar 

  • Melendez JA, Arslan V, Fischer ME, Wuest D, Jarnagin WR, Fong Y, Blumgart LH. Perioperative outcomes of major hepatic resections under low central venous pressure anesthesia: blood loss, blood transfusion, and the risk of postoperative renal dysfunction. J Am Coll Surg 1998;187:620–25.

    Google Scholar 

  • Paquet JC, Dziri C, Hay JM, Fingerhut A, Zeitoun G, Suc B, Sastre B. Prevention of deep abdominal complications with omentoplasty on the raw surface after hepatic resection. The French Associations for Surgical Research. Am J Surg. 2000;179:103–9.

    Google Scholar 

  • Ribero D, Abdalla EK, Madoff DC, Donadon M, Loyer EM, Vauthey JN. Portal vein embolization before major hepatectomy and its effects on regeneration, resectability and outcome. Br J Surg. 2007;94:1386–94.

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  • Tanaka S, Hirohashi K, Tanaka H, Shuto T, Lee SH, Kubo S, Takemura S, Yamamoto T, Uenishi T, Kinoshita H. Incidence and management of bile leakage after hepatic resection for malignant hepatic tumors. J Am Coll Surg. 2002;195:484–9.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Louisville School of Medicine, Louisville, KY, USA

    Robert C. G. Martin MD, PhD & Kelly M. McMasters MD, PhD

  2. Discipline of Surgery, The Queen Elizabeth Hospital, The University of Adelaide, Adelaide, Australia

    Guy Maddern MBBS, PhD, MS, MD

  3. Hepatobiliary Surgeon and Clinical Leader Cancer Services, Department of Surgery, North Shore Hospital, Auckland, New Zealand

    Jonathan Koea MD, FACS, FRACS

  4. Discipline of Surgery, Royal Adelaide Hospital, University of Adelaide, L5 Eleanor Harrald Building, North Terrace, 5000, Adelaide, SA, Australia

    Brendon J. Coventry BMBS, PhD, FRACS, FACS, FRSM

Authors
  1. Robert C. G. Martin MD, PhD
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  2. Kelly M. McMasters MD, PhD
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  3. Guy Maddern MBBS, PhD, MS, MD
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  4. Jonathan Koea MD, FACS, FRACS
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  5. Brendon J. Coventry BMBS, PhD, FRACS, FACS, FRSM
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Corresponding author

Correspondence to Robert C. G. Martin MD, PhD .

Editor information

Editors and Affiliations

  1. Discipline of Surgery, University of Adelaide Royal Adelaide Hospital, Adelaide, South Australia, Australia

    Brendon J. Coventry

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© 2014 Springer-Verlag London

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Martin, R.C.G., McMasters, K.M., Maddern, G., Koea, J., Coventry, B.J. (2014). Liver Resection Surgery. In: Coventry, B. (eds) Upper Abdominal Surgery. Surgery: Complications, Risks and Consequences. Springer, London. https://doi.org/10.1007/978-1-4471-5436-5_8

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  • DOI: https://doi.org/10.1007/978-1-4471-5436-5_8

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5435-8

  • Online ISBN: 978-1-4471-5436-5

  • eBook Packages: MedicineMedicine (R0)

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