Successful management and technical aspects of major liver resection in children

摘要

Optimaltreatment of patients with various types ofliver tumors orcertain liver diseases frequently demands major liver resection, which remainsa clinicalchallengeespecially in children. Although refinement in surgicaltechnology and perioperative management ofliver resection over the past years has led to enormous improvements in patients’ outcomes, hepaticresection remains morbid overall. Even at high volumecenters, in-hospital mortality isas high as 3%, while morbidity ranges from8.3%to 31%in recentstudies. [1] Major hepaticresection, defined as resection of 3nine or moresegments, posesan evenmore difficultclinicalchallenge with operative mortality historically reported at 8.6%to 14.7%and morerecent series describing a 3.1%to 8.7%mortality rate.