Liver resection for colorectal metastases

Introduction: Liver surgery is a relatively recent and relatively major complex surgery, due to the anatomical and histological specialty of the liver Objective of the research: To evaluate the results of the cases of liver metastases from colorectal carcinoma from November 2010 until the end of April 2017.The study included 11 patients with 63,4% of females and average age of 55,4 years. The primary tumor was located in the rectum at 36.4%. in 4 cases (36.4%) was the livermetastases as a synchron with the main tumor while the metachron metastases was in 63.6% of cases. The single metastases was found at 72.7% while the multiple metastases accounted for 27.3%. The transfusion diameter was less than 5 cm in 5 cases and 45.4% and it was larger or equal to 5 cm in 54.6% of all the cases. The liver resection for Hepatocellular lesions were performed concurrently with primary tumor resection in the colon in only one case and the metastases was a single and 9.1% of the cases. The most common surgical procedure was segment resection in 45.4% of all the cases. The left or right hemi hepatectomy was in two cases, 8.7% None of the patients had any complications which requiring a reoperation. Bleeding occurred in one case such as the Bilioma in one case and Biliary fistula occurred in two cases.

Non traumatic Liver resection

Introduction: Liver surgery is a relatively recent and relatively major complex surgery, due to the anatomical and histological specialty of the liver. Objective of the research: To evaluate the results of the cases of non traumatic liver resection from November 2010 until the end of June 2017 The study included 23 patients with 61% of females and average age of 46.8 years. 30.43% of the cases were benign lesions, while malignant lesions constituted 65.12% of all patients. The highest percentage of lesions was of colorectal tumors with 66.66% of all metastatic patients and 43.47% of all patients. Whereas hepatocellular carcinoma HCC were only in 4.35% of all patients The most common surgical procedure was segment resection. The left or right hemi hepatectomy was in two cases, 8.7% None of the patients had any complications which requiring a reoperation. Biliary fistula occurred in two cases, one of which was administered conservatively, the other requiring ERCP.