Update on Patient Management in Hepatic SurgeryBadr Serji*
Department of Surgery, Mohammed the First University, Oujda, Morocco
- *Corresponding Author:
- Badr Serji
Oncological Center Hassan II, Medical school
Mohammed the First University, Oujda, Morocco
E-mail: [email protected]
Received Date: March 15, 2017; Accepted Date: April 07, 2017; Published Date: April 15, 2017
Citation: Serji B (2017) Update on Patient Management in Hepatic Surgery. Surgery Curr Res 7: 292. doi: 10.4172/2161-1076.1000292
Copyright: © 2017 Serji B. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
In the era of modern medicine, hepatic surgery knew radical changes allowing improvement in morbidity and mortality. Those results were possible due to the improvement made in each step of the management of the patient. Preoperatively, many techniques (such as volumetry, hepato-biliary scintigraphy, magnetic resonance relaxometry…) allow now the assessment of the volume and liver function, which is now a standard of care. In operation room, the combination of different techniques of clamping and new devices of hemostasis contributes to improve blood loss control. In general, morbi-mortality in hepatic surgery is related to the risk of hemorrhage, biliary fistula and postoperative liver failure (PHLF). In this article we propose to review recent literature concerning new techniques in the prevention of those 3 situations.