Large liver resection. Current status and factors that affect the short-term and long-term survival of patients after major liver resections
Abstract
Large liver resections mean resection of 3 or more liver segments. They are currently a treatment method with low perioperative mortality in surgical workplaces with a high frequency of procedures.
Most surgical procedures are currently sophisticated and some are part of recommended procedures or standards. Favorable early results lead to an expansion of indications especially in patients with secondary metastatic liver disease in patients with colorectal cancer.
Liver cirrhosis significantly increases the risk. In a patient with liver cirrhosis classified according to liver function in the Child - Pugh A group, it is necessary to keep at least 40% of the liver parenchyma after resection.
In higher groups (Child - Pugh B, C) a large resection performance is not indicated.