Prophylactics and treatment of complications after resection of the liver

: Results of treatment of 147 patients with focal diseases of the liver are described. Postoperative complications appeared in 25.8%, postoperative lethality was 6.7%. Among the postoperative complications the leading role belongs to hepatic insufficiency. Prognostic factors of the development of postresectional hepatic insufficiency are the degree of liver cirrhosis and dilatation of the portal vein, malignant character of the tumor, volume of liver resection, whole protein level before operation. The strategy of mini-invasive treatment of patients with biliary complications was worked out. Strict selection of patients, using blood-saving methods and techniques allow postoperative lethality to be decreased.