Hepatectomía en patología hepática no tumoral. experiencia multicéntrica en Argentina

Dietrich Agustín; Ardiles Victoria; Lendoire Javier; Raffin Gabriel; Moro Mariano; Storck Gustavo; Russi Rodolfo; Barros Schelotto Pablo; de Santibañes Eduardo; Pekolj Juan

BACKGROUND:

The role of liver resection (LR) in patients with non-tumoral hepatic disease (NTHD) remains controversial.

OBJECTIVE:

To analyze the indications and outcomes of liver resections in patients with NTHD.

METHODS:

A retrospective analysis in a multicentric data base was performed. Outcome measures were incidence of postoperative cholangitis, infectious and non-infectious complications, hospital stay and overall mortality.

RESULTS:

One hundred and fourteen patients underwent LR due to NTHD from January 2001 to November 2011. Fourteen patients presented complex bile duct injuries (CBDI), 18 intra-hepatic lithiasis (IL), 32 liver hydatid cysts (LHC), 10 polycystic liver disease (PLD), 19 Carolis disease (CD) and 21 other NTHD. Forty seven patients underwent a major hepatectomy and 67 a liver segmentectomy or an atypical liver resection. Thirty four patients (29

) presented surgical related complications. There was not intra or post-operative mortality. In long term outcomes, 98 patients (85

) were asymptomatic, 10 presented episodes of intermittent cholangitis that were treated with antibiotics, and 7 underwent another surgical procedure.

CONCLUSIONS:

LR is a radical and effective procedure to treat benign NTHD instead of other surgical or percutaneous procedures, avoiding multiple sessions of treatment and high post procedure complications rates.