ACTA FAC. MED. NAISS. 2004; 21 (4): 179-183

     Original article

Miroslav Stojanović¹, Miroslav Jeremić¹, Aleksandar Bogićević¹, Milan Radojković¹, Aleksandar Zlatić¹, Ljiljana Jeremić¹, Goran Stanojević¹, Aleksandar Nagorni², Vesna Brzački², Suzana Raičević-Sibinović², Daniela Benedeto-Stojanov², Srđan Denčić³, Srđan Stamenković⁴

¹Surgical clinic Clinical Center Niš
²Gastroenterology and hepatology clinic Clinical Center Niš,
³Medical Center Pirot,
⁴Medical Center Argasi, Zakynthos,

    SUMMARY

    The authors present the results of 44 liver resections performed in 4-years period after applying a new concept in liver surgery, comprising a profound knowledge of liver anatomy, introduction of intraoperative ultrasound, new techniques in liver mobilisation and vascular occlusion and new tools for liver parenchyma transection. The predominant indication for liver resection was metastatic colorectal cancer, which was found in 27 patients. Hepatocellular carcinoma was resected in 6 patients, gallbladder cancer in 2 patients and benign lesions in 8 cases (2 adenomas, 2 hemangiomas, 1 giant lipoma and 3 cases of the liver hydatidosis). Morbidity rate was about 20%. The most common complication was prolonged biliary secretion. During the aforementioned period, no perioperative deaths and no iatrogenic injury to the biliary tract or larger vessels were reported. All 36 patients operated on because of malignant disease were followed-up for at least 6 months. Complete remission was noted in 31 patients (86.11%). After one-year follow-up period, 85.71% of the patients were still alive. The authors conclude that precise indication for surgery and established operative procedure performed by a well-trained team are the basis of surgery with acceptable morbidity and no operative mortality.

    Key words: liver resection, surgical concept, morbidity, and mortality.