Engelsk titel: How much liver resection is too much?
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Författare:
Ott P
;
Mortensen FV
Email: peott@as.aaa.dk
Språk: Dan
Antal referenser: 10
Dokumenttyp:
Artikel
UI-nummer: 08041840
Sammanfattning
Because the liver has a remarkable ability to regenerate, extensive resections are possible. Most liver centres recommend that the remnant liver after resection in a non-cirrhotic liver constitutes at least 30% of the normal liver mass. Too extensive resection carries a risk of the small-for-size syndrome with coagulapathy, jaundice, multi-organ failure and high mortality. Resection in a liver with established cirrhosis is more difficult because the ability to regenerate is lost and function is reduced. Portal hypertention is considered a contraindication to resection.