Aims and objectives
Liver metastases are the primary cause of malignant liver tumors.
They represent an advanced stage of systemic neoplastic disease (stage IV) and only in some cases; the treatment of them achieves a benefit in terms of survival. Colorectal cancers are the primary cancers that most frequently originate metastases via the mesenteric-portal circulation in the liver.
This organ is the first site of tumor recurrence in 30 % of patients operated for colorectal cancer. Liver metastases of colorectal...
Methods and materials
We retrospectively studied all cases of liver resection surgery in our hospital (Fuenlabrada University Hospital,
Madrid) in patients undergoing surgery due to oncological pathology. The oncological pathology affecting the liver and biliary tract was secondary to multiple etiologies,
the most common being metastasis of colorectal origin. All patients underwent liver resection surgery.
The type of procedure was chosen depending on the degree liver affectation (lobes and segments).
Since the opening of the hospital in 2005 to the present days (July 2013),
the Department of General and Digestive Surgery of this hospital has performed 177 liver resection surgeries.
Most of the patients were operated because of colon metastasis. Of these procedures,
24 patients (12,9% of total) presented as a postoperative complication a biliar leak,
12 of them as the only complication and the rest as one of several others.
Of these 24 patients,
the main cause of surgery was also colon...
Biliary leaks and bilomas are a relatively common complication after partial liver resections. In our hospital we have 24 cases out of 177 liver resection surgery.
(13%) They can be graded in different levels depending their evolution in time and the requirement of extra procedures for their resolution.
(interventional radiology or surgery). Looking at the results of our experience,
hospitalization days were not affected by the realization of interventional radiology procedures instead of...
-Anales de la Facultad de Ciencias Médicas (Asunción) - Drenaje Biliar Percutáneo: Técnica,
indicaciones y resultados Available at: http://scielo.iics.una.py/scielo.php?pid=S1816-89492005000200009&script=sci_arttext .
2013. -Chen XP,
A ten-year study on non-surgical treatment of postoperative bile leakage World J Gastroenterol 2002 Oct;8(5):937-942. -Kim JH,