%0 Journal Article
%T Tumores y quistes del h¨ªgado: tratamiento quir¨²rgico resectivo
%A Mar¨ªa Cristina Infante Carbonell
%A Rolando Leyva Moreira
%A Jorge Reyes Cardero
%A Agust¨ªn Jim¨¦nez Carrazana
%J Revista Cubana de Cirug¨ªa
%D 1996
%I Editorial Ciencias M¨¦dicas
%X Se aplic¨® tratamiento quir¨²rgico resectivo del h¨ªgado a 68 pacientes en los 3 hospitales clinicoquir¨²rgicos de Santiago de Cuba, durante 8 a os (1987-1994). En 28 enfermos los tumores eran malignos, en 27 benignos y en el resto quistes solitarios, con predominio del h¨ªgado metast¨¢sico en los primeros y del hemangioma cavernoso en los segundos. El c¨¢ncer primitivo se diagnostic¨® en las etapas III y IV. Se practicaron 18 resecciones mayores, entre ellas 8 trisegmentectom¨ªas derechas, mientras que las restantes consistieron en resecciones menores y at¨ªpicas, sobre todo hep¨¢ticas regladas. Aparentemente las complicaciones peroperatorias y posoperatorias no ten¨ªan relaci¨®n con la magnitud de la ablaci¨®n. El absceso subfr¨¦nico fue el de mayor incidencia. La mortalidad no se relacion¨® con la t¨¦cnica quir¨²rgica empleada, pero s¨ª con la etapa cl¨ªnica del tumor maligno y las complicaciones durante la operaci¨®n y despu¨¦s de ¨¦sta Liver surgical resection treatment was applied to 68 patients in 3 clinical and surgical hospitals in Santiago de Cuba during 8 years (1987-1994). Tumours were malignant in 28 patients, benign in 27 and solitary cysts in the rest, with predominance of metastasic liver among the first and of cavernous hemangioma among the second ones. Primitive cancer was diagnosed in stages III and IV. 18 major resections were performed. 8 of them were right trisegmentectomies and the rest were minor and atypic resections, mainly ruled hepatic resections. Apparently, preoperative and postoperative complications were not connected with the magnitude of ablation. The subphrenic abscess had the highest incidence. Mortality was not related to the surgical technique used, but it was to the clinical stage of the malignant tumour and to the complications during and after the operation
%K NEOPLASMAS HEPATICOS
%K QUISTES
%K HEPATOPATIAS
%K LIVER NEOPLASMS
%K CYSTS
%K LIVER DISEASES
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74931996000200009