The clinical study on postopertive complications of hepatectomy using microwave tissue coagulator for hepatocellular carcinoma

概要

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The incidence of postoperative complications of the hepatectomy using microwave tissue coagulator (MTC) for hepatocellular carcinoma were investigated. In one hundred and twenty six cases, containing 71 "atypical" hepatectomy and 55 "typical" hepatectomy, operated between January 1981 to December 1993, 21 cirrhotic cases and 2 non-cirrhotic cases represented the sign of hepatic insufficiency such as severe ascites, jaundice and/or death due to hepatic failure. Thirteen cases of "atypical" hepatectomy represented the sign of hepatic insufficiency. Another complications were four cases (3.2%) of stump abscess, 4 cases of massive gastrointestinal bleeding, 3 cases (2.4%) of bile leakage, 2 cases (1.6%) of postoperative pulmonary complication, 2 cases of incisional herniation, 2 cases of postoperative adhesion ileus and 1 case of acute intraabdominal bleeding from the resected stump. There were no significant tendency of stump abscess or bile leakage between, "atypical" or "typical" hepatectomy, cirrhotic or non-cirrhotic liver.The result implies that accurate evaluation of functional reserve is necessary even in the case of "atypical" hepatectomy but all of the complications can be overcome because they are not specific for MTC.
特定非営利活動法人 Microwave Surgery研究会の論文