[Vascular complications in hepatic resection].
Vascular complications after liver resection are not frequently encountered but can sometimes have severe consequences. In a series of 1075 case of liver resections performed at the Viêt-Duc Hospital from 1960 to 1985, we experienced only 30 cases complicated by vascular events: torsion of the inferior vena cava (n = 5), compression of the inferior vena cava (n = 1), damage to the intrahepatic suprahepatic vein (n = 2), damage to the inferior vena cava by a tear lesion of the accessory suprahepatic vein or the right adrenal vein (n = 3), damage to the inferior vena cava by tear in the main suprahepatic vein (n = 11), erosion of the anterior wall of the inferior vena cava due to an hepatoma (n = 3), damage to the inferior vena cava and to the hepatic pedicle (n = 1). Indications for hepatectomy in these 30 cases were: primary liver cancer (n = 28), liver metastasis of sympatoblastoma (n = 1) and diffuse hemangioma (n = 1). Mortality in this group was high (30%) compared with the overall mortality (13.%) or mortality due to the nature of the disease (18.7% for primary liver cancer) or the resection technique itself (23% for major resection).
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Hôpital Viêt-Duc, Hanoi, Viet-Nâm.
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D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects* / Q000379:methods; D006503:Hepatic Veins; D006801:Humans; D007223:Infant; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D014682:Vena Cava, Inferior
Les complications vasculaires dans la résection hépatique.