الفهرس | Only 14 pages are availabe for public view |
Abstract In conclusion, the basic risk of elective liver resections when performed in high-volume centers is low, comparable with, or lower than the risk of other elective abdominal procedures. Consequently, there is a rationale for extending the indications of liver resection in patients with benign lesions developed on a normal liver unless an associated extrahepatic procedure is needed. In patients with a benign disease, intraoperative and in-hospital mortality weren’t recorded, and the morbidity rate and transfusion requirements are very low. Assessing this risk in unstratified patients by using in-hospital mortality as the only end point is outdated. It is time to use new end points, such as morbidity and need for hospitalization, financial reasons or quality of life, especially when evaluating new techniques supposed to increase feasibility or to improve the postoperative course of hepatic resection, such as preoperative portal embolization or laparoscopy. |