Impactul refacerii rezervei de glicogen asupra rezectiilor hepatice elective

Abstract

Ocluzia temporara a aportului vascular pe de o parte si pierderile sanguine importante, pe de alta parte, reprezinta componente cheie ale chirurgiei hepatice. Totodata, aceste strategii de management vor produce alterari ale functiei hepatice in postoperator. Studiul nostru isi propune sa elucideze efectul refacerii rezervelor de glicogen la pacientii propusi pentru rezectii hepatice elective asupra evolutiei biologice si a insuficientei hepatice postoperatorii.

Temporary occlusion of blood inflow for resection on one hand and important blood loss on the other hand is a common strategy in liver surgery. However, hepatic vascular occlusion will undoubtedly impair liver function and anemia will produce systemic imbalances. Our study was designed to elucidate the effect of hepatocellular glycogen storages in alleviation of liver ischemia - reperfusion injury during intraoperative haemodynamic liver injuries for elective hepatectomies, the postoperative impairement and consecutive biologic liver failure.