THE PREVENTION OF SUBPHRENIC INFECTION AFTRE HEPATECTOMY_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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Departmnt of hepato-biliary Surgery, First Affiliated Hospital Xian Medical University,Xian 710061;

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Keywords：

Hepatectomy; Subphreenic infection; Subphrenic drainage

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One hundred and five hepatic resection were performed from 1984 to 1994. Six of these patients complicated with subphrenic infection after hepatectomy, of whom two patients died of liver failure. Subphrenic dropsy occureeed in nine cases. Subphrenic infection is easy to occur in: right or extend lobectomy, massive blood loss at operation, and in postoperative bleeding which subjects to laparotomy for lemostasis. Seecure hemostasis, avoidence of hepatic tissue devitalization during operation and effective subphenic drainage aree essential to reduce the incidencee of subphrenic infection, and routine bacterial culture of subphrenic drainage fluid will help to select propre antibiotic.

Citation： Wang Zuoren,Shi Jingsen,Lu Zhegnfa,et al.. THE PREVENTION OF SUBPHRENIC INFECTION AFTRE HEPATECTOMY. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1995, 2(1): 26-28. doi: Copy

1.	Iwasuki S, Sheahan DG, Sarzl TE. The changing face of hepatic resection. Curr Probl Surg, 1989;20(5):354.
2.	Paul AM, Leeuwen V, Hong RW, et al.Hepative failure and coma after liver resection is reversed by manipulation of gut contents: the role of endotoxin. Surg, 1991;110(2):169.
3.	Yurt RW, Shires GJ. Increased susceptibility ot infectionn due to infusion of exogenous chemotaxin, Arch Surg, 1987;1122(1):111.
4.	Maallew HE, Fletcher J. Effects of surgery on neutrophil granulocyte function. Infect Immun, 1981;32(1):38.
5.	Masters A, Steger AC,Bown SG, Role of interstitial therapy in the treatment of liver cancer. Br J Surg, 1991;78(5):518.
6.	Yanaga K, Kanematsu T, Sugimachi K, et al. Intraperitoneal septic complications after hepatectomy. Amm Surg, 1986;203(2):148.
7.	Goins WA, Rodrignez A, Joshi M, et al. Intraabdominal abscess after blunt abdominal trauma. Ann Surg,1990;212(1):60.

1. Iwasuki S, Sheahan DG, Sarzl TE. The changing face of hepatic resection. Curr Probl Surg, 1989;20(5):354.
2. Paul AM, Leeuwen V, Hong RW, et al.Hepative failure and coma after liver resection is reversed by manipulation of gut contents: the role of endotoxin. Surg, 1991;110(2):169.
3. Yurt RW, Shires GJ. Increased susceptibility ot infectionn due to infusion of exogenous chemotaxin, Arch Surg, 1987;1122(1):111.
4. Maallew HE, Fletcher J. Effects of surgery on neutrophil granulocyte function. Infect Immun, 1981;32(1):38.
5. Masters A, Steger AC,Bown SG, Role of interstitial therapy in the treatment of liver cancer. Br J Surg, 1991;78(5):518.
6. Yanaga K, Kanematsu T, Sugimachi K, et al. Intraperitoneal septic complications after hepatectomy. Amm Surg, 1986;203(2):148.
7. Goins WA, Rodrignez A, Joshi M, et al. Intraabdominal abscess after blunt abdominal trauma. Ann Surg,1990;212(1):60.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

THE PREVENTION OF SUBPHRENIC INFECTION AFTRE HEPATECTOMY

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