[Risks of liver resection].
The expanding use of liver surgery can be attributed to--progress in surgical techniques, which have markedly reduced the risks associated with liver resection, and--the improved survival after surgical treatment of primary and metastatic liver tumors. These improvements have resulted from a better understanding of tumor biology, preoperative evaluation of the functional hepatic reserve, better patient selection, and identification of prognostic factors. The future remnant liver (FRL) can be preserved by--using the laparoscopic approach when possible;--reducing intra-operative bleeding;--avoiding unnecessary manipulation, and--preserving venous drainage.
Belghiti
Jacques
J
Service de chirurgie hépatobilio pancréatique, Hôpital Beaujon, 100 bld du Général Leclerc, 92110 Clichy.
D006498:Hepatectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans