[Specifics of anesthesia in extensive liver resection].
There were analyzed the results of anesthesiological securing while performance of extensive hepatic resection in 46 patients (extended rite-sided--in 21, left-sided--in 22, mesohepatectomy--in 3) with preservation of 20-40% of the organ volume, including preoperative preparation, analgesia and intensive therapy after the operation. Combined epidural anesthesy is the method of choice in extensive hepatic resection, she promotes the pharmacological loud reduction with narcotic analgetics and myorelaxants, earlier extubation and activisation of patients after the operation. Its combination with isofluran, circulating in closed contour, is perspective.
Korolev
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D000768:Anesthesia, General / Q000379:methods*; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control