NUTRITIOUS ACCOMPANIMENT OF EXTENSIVE LIVER RESECTIONS

Abstract

Six patients with right-sided hemihepatectomy were observed. In the preoperative period, along with clinical and laboratory, CT, ultrasound, gastroscopy, the functional reserve of the liver was assessed before and after the operative increase in the volume of the left lobe of the liver. We estimated not only the increase in volume, but also the functional preservation of liver functions. The criterion of nutritional consistency was the well-known alimentary-vollemic diagnosis. Given the high nutritional risk, a nutritional correction included a mixed nutrition (sparing diet + sipping with a mixture of hepatoprotective composition, enzyme therapy and parenteral correction with electrolyte solutions, vitamins and albumin). Against the background of the correction, the patient’s state was satisfactory with positive dynamics.