Background: The operative mortality for liver resections in cirrhosis is high even in large volume centres. Recent studies revealed a low mortality comparable to that of non-cirrhotics. Many of the studies analyse only minor resections, which are commonly done in cirrhosis. Hence we analysed the data on liver resection.
Materials & Methods: Data of 36 patients who underwent liver resections in between 2009 September& 2011 December were collected. The preoperative, intra operative, postoperative and pathological data were analysed.
Results: 16 patients with underlying cirrhosis underwent resection. The major & minor resections were 9 & 7 respectively. 5/9 underwent left hepatectomy. No patient with liver cirrhosis underwent extended liver resection. There was no statistically significant increase in postoperative complications- ascites (n=11), hyperbilirubinemia (n=6), hepatic encephalopathy (n=1). There was no statistically significant difference in mortality.
Conclusion: In carefully selected patients, liver resection in cirrhosis is a safe surgery. Laparoscopy was useful in patient selection for liver resection. Hypoalbuminemia did not increase the risk of liver failure
Key words: Liver resection, cirrhosis
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