DOI: 10.36347/sasjs.2020.v06i08.004

Pages: 299-303

Background: Surgery remains the only effective treatment for malignant liver tumors today. It is also indicated for the treatment of some benign diseases of the liver. In recent decades, hepatic surgery has seen its indications multiply thanks to advances in surgical techniques, imaging and anesthesia. Aim: To evaluate the different techniques employed in the liver resection as well as surgical indications to analyze results of morbidity and mortality. Patients and methods: Retrospective review of medical records of patients who underwent liver resection at the Digestive Surgery Division of University Hospital Centre Mohamed VI of Marrakech between march 2017 and december 2019. Results: twenty five (15 women and 10 men) patients underwent liver resection during the study period, with a mean age of 61.2 years (range 23-79 years). Surgical indications were dominated by the malignant lesions 60% of cases, 12% of begnin lesions and 28% of liver transplant. Major resections were performed in 11 patients. Vascular clamping was conducted in 72% of cases. Abdominal drainage has been made in 88% of cases and biliary drainage has never been realized. For additional acts, 2 major gestures havent been achieved. There was no intraoperative death and postoperative morbidity was 20% and the overall mortality rate was 0%. Conclusion: The search of reduced morbidity and mortality in hepatic resection passes by a better selection of patients and indications, by a rigorous procedure and an optimal assumption of complications.