Characterization of Surgical Management of Hepatic Tumors

Abstract

Introduction: The history of liver surgery covers twenty-eight centuries, which has allowed its evolution from considering the liver as an untouchable organ to performing complex hepatectomies and hepatic transplantation. This research describes the ten years’ balance in the activity developed by a hepatobiliary surgery team.

Objective: To characterize the surgical management of solid hepatic tumors in the Center for Medical-Surgical Research between 2009 and 2019.

Methods: An observational, descriptive, longitudinal and retrospective study was carried out, for which 129 patients who underwent surgical treatment were analyzed.

Results: Malignant tumors accounted for 73% of the total; within this group, metastatic tumors stand out, accounting for fifty cases. Morbidity of this surgery type was 13%, while operative mortality was 2%. The cause of death identified was septic shock due to generalized peritonitis.

Conclusions: Malignant tumors were the most frequent. There was low morbidity, with pleural effusion as the most common complication. Mortality is consistent with the values reported for this type of surgery.