Hepatic Resection in Kurdistan Center for Gastroenterology and Hepatology: A Single Center Experience

Barham Muhammad Muhammed  Salih; Qalandar Hussin Abdulkarim  Kasnazani; Karzan Seerwan Abdulla

doi:10.56056/amj.2018.59

Authors

Barham Muhammad Muhammed Salih Lecturer in School of Medicine, Department of Surgery, Sulaimani Faculty of Medical Sciences, Ministry of Higher Education, Kurdistan-Iraq FACS,MRCS,FICS,CABS , FICMS
Qalandar Hussin Abdulkarim Kasnazani Senior consultant /Digestive surgery, Chairman of Kurdistan Board in Subspecialty of Digestive surgery, Sulaimani section, kurdistan-Iraq, FACS, FRCS, FICS, AHPBA member
Karzan Seerwan Abdulla Lecturer in School of Medicine, Department of Surgery, Sulaimani Faculty of Medical sciences, Ministry of Higher Education , Kurdistan- Iraq ,MRCS,FICMS

DOI:

https://doi.org/10.56056/amj.2018.59

Keywords:

Blood loss, Blood transfusion, tic resection, Short term outcome

Abstract

Background and objectives:Liver resection has become definitive management for several benign and malignant conditions. The aim of the study is to review the short-term outcome of hepatic resection, including extent of resection, the original pathology, blood loss, blood transfusion, morbidity and mortality.

Methods: This is a case series study included 25 patients underwent hepatic resection to treat benign conditions or to potentially eradicate malignant conditions between 1stJanuary 2016 to 31st August 2017 in three hospitals belongs to Kurdistan Center for Gastroenterology and Hepatology. Data regarding socio-demographics and short term outcome, including extent of resection, blood loss, blood transfusion, morbidity and mortality were collected and analyzed.

Results: The total number of patients that underwent hepatic resection was 25. There were 5 male, 20 female. Age ranged between 5-77 years with mean age of 45.8 years. The indications for resection were malignant disease in (44%) and benign diseases in (56%).The mean estimated blood loss was 904.0 ± 597.7 .The mean blood transfusion was 800 ml packed red blood cell. The postoperative recovery was smooth in (64%) and complicated in (36%). The mortality rate was (4%).

Conclusions: hepatic resections can be done with acceptable early postoperative outcomes despite limited resources and low volume set-up, morbidity, mortality, estimated blood loss and average transfusion requirement was high which can be further minimized with better meticulous surgical technique and use of novel energy devices

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