Selective continuous @entity432 and perioperative fluid restriction in partial hepatectomy. Outcomes in 101 consecutive XXXX .

@entity1 @entity2700 @entity190 @entity2507 @entity432
BACKGROUND: This study documents @entity1 outcomes with one department's approach to performing partial hepatectomy. METHODS: 101 consecutive @entity1 underwent: preoperative @entity2700 ; intraoperative CVP <5 cm @entity2507 and selective continuous @entity432 . OUTCOME VARIABLES: pathology; type of hepatic resection; intraoperative @entity190 and transfusion rate; 30 day morbidity and mortality; disease free and long term survival. Perioperative liver function was assessed by serial blood sampling. RESULTS: Of 101 resections: 90% malignant disease; 59% major resections and 35% synchronous procedures. Median estimated @entity190 was 400 mL (mean 512 mL, range 50-3000 mL) with postoperative transfusions in 4%. Thirty day morbidity was 20% with no deaths. Median time to local recurrence after colorectal liver metastases resection was 17.1 months with 3 year survival of 51%. Distinct perioperative changes in hepatic function were seen. CONCLUSION: Selective continuous @entity432 and perioperative fluid restriction result in minimal @entity190 , low morbidity and zero mortality in @entity1 undergoing partial hepatectomy.
