[Diagnosis and prognosis of hepatic insufficiency in focal hepatic lesions].
The priority of surgical approach for focal hepatic affection is doubtless. Hepatic resection (HR) is the main method, securing notable lengthening of life and sometimes--radical reconvalescence of patients, suffering hepatic tumors. At the same time HR is a very high risk operation in sense of danger of the complications occurrence. The hepatic insufficiency occurrence or exacerbation constitutes one of the dangerous and frequent complications. The problem of an acute hepatic insufficiency is actual, because the necessity exists to perform HR in patients with insufficient postresectional residual parenchyma volume, the lowered regeneration capacity in presence of cirrhosis, chronic hepatitis, dystrophic changes, etc. That's why the only method for prophylaxis of this complication occurrence is its prognosis estimation. The hepatic functional reserve and residual parenchyma volume determination constitute the base of postoperative hepatic insufficiency prognosis.
O I
OI
Dronov
Iu P
IuP
Bakunets'
P V
PV
Fedoruk
D006498:Hepatectomy / Q000009:adverse effects; D048550:Hepatic Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D006801:Humans; D008099:Liver / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D008111:Liver Function Tests; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008115:Liver Regeneration; D009929:Organ Size; D011379:Prognosis