hepatoАнналы хирургической гепатологииAnnaly khirurgicheskoy gepatologii = Annals of HPB Surgery1995-54642408-9524НЭИКОН ИСП10.16931/1995-5464.2021176-83hepato-671Research ArticleПЕЧЕНЬLIVERСравнение результатов резекций центральных сегментов печени и расширенной гемигепатэктомии по поводу очаговых новообразований печени у детейThe comparison of central hepatic segments resection versus extended hepatectomies outcomes in children with liver tumorshttps://orcid.org/0000-0002-1387-209XАхаладзеД. Г.AkhaladzeD. G.

Ахаладзе Дмитрий Гурамович – кандидат медицинских наук, руководитель группы торакоабдоминальной хирургии 

117997, г. Москва, ул. Саморы Машела, д. 1

Dmitry G. Akhaladze – Cand. of Sci. (Med.), Head of Thoracoabdominal Surgery Group

117997, Moscow, 1 Samory Mashela str.

d.g.akhaladze@gmail.comhttps://orcid.org/0000-0002-5691-2522РабаевГ. С.RabaevG. S.

Рабаев Гавриил Савельевич – врач – детский хирург отделения онкологии и детской хирургии 

117997, г. Москва, ул. Саморы Машела, д. 1

Gavriil S. Rabaev – Pediatric Surgeon of the Department of Pediatric Oncology and Surgery

117997, Moscow, 1 Samory Mashela str.

rabaevgesha@gmail.comhttps://orcid.org/0000-0001-9424-1646УсковаН. Г.UskovaN. G.

Ускова Наталья Геннадьевна – кандидат медицинских наук, врач – детский хирург отделения онкологии и детской хирургии 

117997, г. Москва, ул. Саморы Машела, д. 1

Natalya G. Uskova – Cand. of Sci. (Med.), Pediatric Surgeon of the Department of Pediatric Oncology and Surgery

117997, Moscow, 1 Samory Mashela str.

nataliyauskova@gmail.comhttps://orcid.org/0000-0003-0404-6420МеркуловН. Н.MerkulovN. N.

Меркулов Николай Николаевич – врач – детский хирург отделения онкологии и детской хирургии 

117997, г. Москва, ул. Саморы Машела, д. 1

Nikolay N. Merkulov – Pediatric Surgeon of the Department of Pediatric Oncology and Surgery

117997, Moscow, 1 Samory Mashela str.

dr.mernich@yandex.ruhttps://orcid.org/0000-0002-5308-6544ТалыповС. Р.TalypovS. R.

Талыпов Сергей Римович – кандидат медицинских наук, врач – детский хирург отделения онкологии и детской хирургии 

117997, г. Москва, ул. Саморы Машела, д. 1

Sergey R. Talypov – Cand. of Sci. (Med.), Pediatric Surgeon of the Department of Pediatric Oncology and Surgery

117997, Moscow, 1 Samory Mashela str.

riumych@yandex.ruhttps://orcid.org/0000-0002-2021-0465СлининА. С.SlininA. S.

Слинин Алексей Сергеевич – научный сотрудник отдела исследования сарком 

117997, г. Москва, ул. Саморы Машела, д. 1

S. Slinin – Researcher of the Sarcoma Research Department, Dmitry Rogachev National Medical Research 

117997, Moscow, 1 Samory Mashela str.

alekseislinin@gmail.comhttps://orcid.org/0000-0002-4451-3233ГрачевН. С.GrachevN. S.

Грачев Николай Сергеевич – доктор медицинских наук, заведующий отделением онкологии и детской хирургии 

117997, г. Москва, ул. Саморы Машела, д. 1

Nikolay S. Grachev – Doct. of Sci. (Med.), Head of the Department of Pediatric Oncology and Surgery

117997, Moscow, 1 Samory Mashela str.

nick-grachev@yandex.ruФГБУ “Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева” Минздрава РоссииРоссияDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of Russian FederationRussian FederationФГБУ “Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева” Минздрава России;РоссияDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of Russian FederationRussian Federation2021040220212617683Copyright © Ахаладзе Д.Г., Рабаев Г.С., Ускова Н.Г., Меркулов Н.Н., Талыпов С.Р., Слинин А.С., Грачев Н.С., 20212021Ахаладзе Д.Г., Рабаев Г.С., Ускова Н.Г., Меркулов Н.Н., Талыпов С.Р., Слинин А.С., Грачев Н.С.Akhaladze D.G., Rabaev G.S., Uskova N.G., Merkulov N.N., Talypov S.R., Slinin A.S., Grachev N.S.This work is licensed under a Creative Commons Attribution 4.0 License.https://hepato.elpub.ru/jour/article/view/671Цель

Цель. Анализ безопасности и преимуществ центральной резекции по сравнению с расширенной резекцией печени.

Материал и методы

Материал и методы. С июня 2017 по май 2020 г. хирургическое лечение в объеме центральной и расширенной резекции по поводу новообразований печени перенесли 29 детей. Центральная резекция выполнена 8 детям, расширенная гемигепатэктомия – 21. Проведен анализ результатов предоперационного обследования, интраоперационного и послеоперационного периода в обеих группах.

Результаты

Результаты. У большинства обследованных детей диагностировали гепатобластому. Объем будущего остатка печени (FLR) в группе центральной резекции был больше (р = 0,003). Достоверных различий в продолжительности операции (р = 0,94), интраоперационной кровопотере (р = 0,078), объеме гемотрансфузии (р = 0,057), частоте послеоперационных осложнений, продолжительности послеоперационного периода (р = 0,3) не выявлено.

Заключение

Заключение. При схожей частоте и характере послеоперационных осложнений резекции центральных сегментов печени у детей безопасны и позволяют сохранить больший объем здоровой паренхимы органа.

Aim

Aim. To analyze the safety and advantages of central resection in comparison with extended hepatectomies.   Methods. From June 2017 to May 2020 29 central and extended liver resections for children were performed. Central hepatic resections were carried out in 8, extended hepatectomies – in 21 patients. Preoperative investigations, intraoperative and postoperative data in both groups were analyzed.

Results

Results. The main indication for surgery was hepatoblastoma. Future liver remnant volume was significantly higher in central resections group (р = 0.003). No difference in median operative time (р = 0.94), intraoperative blood loss (р = 0.078) and blood transfusion rate (р = 0.057) were found between groups. There were no postoperative complications difference. Also no difference in hospital stay length (р = 0.3) were found.

Conclusion

Conclusion. In comparison with extended procedures, central liver resection has similar complication rate. Central hepatectomy is a safe procedure in children with liver tumors, which allows to preserve more healthy parenchyma.

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The authors declare that there are no conflicts of interest present.