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Biliary complications post liver resection for pediatric liver tumors

World Journal of Pediatric Surgery 2023年第3期6卷 154-160页

作者： Mohd Yusran Othman kok hoi teh Zakaria Zahari Department of Paediatric Surgery Hospital Tunku Azizah(Kuala Lumpur Women's and Children's HospitalMinistry of Health Malaysia)Kuala LumpurMalaysia Department of Paediatrics Hospital Tunku Azizah(Kuala Lumpur Women's and Children's HospitalMinistry of Health Malaysia)Kuala LumpurMalaysia

Objective To review biliary complications following liver resection for liver tumors in children and their associated risk *** Retrospectively,we reviewed children who underwent liver resection for liver tumors from 2010 to *** data,operative details,types of complications,interventions and outcomes were *** Eighty-six out of 108 liver resections were included in this *** median age of patients was 1.8 years old,and 55%were *** majority(95%)were malignant tumors,of which 87%were hepatoblastoma(n=71).The most common procedure performed was extended right hepatectomy(37%,n=32).Twelve(14%)patients had primary biliary complications:nine bile leakages and three biliary *** cases of bile leakage were treated non-operatively with drainage only;however,one developed *** bile leakages underwent early operative *** patients underwent biliary *** complications were not significantly associated with age,sex,ethnicity or pathology of the *** of them(83%)developed following extended hepatectomies(five right,five left),in which the left side had a higher rate of complications(63%vs 16%).None of the central hepatectomies had biliary *** complication rates were significantly higher among those who had segmentectomy 1(p=0.023).Conclusions Biliary complication is a significant morbidity following liver resection in *** is eventually required for complicated bile leakage and primary biliary ***-up is mandatory since secondary biliary complications may occur after the initial resolution of bile *** groups at high risk of developing biliary complications are extended left hepatectomies and segmentectomy 1.

关键词： complications Biliary resection

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