Until the end of 1990, a total of 402 hepatic resections were completed including 319 primary malignancies, 4 secondary malignancies, 2 gallbladder carcinomas, 42 intrahepatic cholelithiasis and 35 benign masses. Major hepatic resections were
performed
on 117 patients (29%). Of the 117 patients, 60 (51%) patients had histologically proven liver cirrhosis. Minor hepatic resections were performed on 285 patients (71%). Sepsis was the most trequent complication, manifested primarily as wound
infection
(71 cases) or intra-abdominal infection (25 cases). nonfatal hepatic failure occured in 9 patients with cirrhosis and in 1 patient without cirrhosis. There were 38 operative deaths among 402 hepatic resections, for an overall operative mortality
of
9.4%. Twenty five of these patients died from hepatic failure after operation, accounting for 66% of the total operative mortality. The frequency of the hepatic resection was increasing during the last five years.
Indications for resection increase from 87 to 197 resections for hepatocellular carcinoma. The cumulative data show decrease in complication rate and operative mortality. In the recent period, nonlethal postoperative complications have occured in
135 of
286 patients (47%). The overall survival rates in 172 patients excluding operative mortalities and palliative resections and reresection, were 71.0%, 39.8%, 28.3% for 1, 3, and 5 year.
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