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Abstract:
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In 140 patients undergoing hepatic resection to remove cancerous tissue, hypercoagulation was the
most common postoperative blood coagulation disorder (BCD); in ten patients, this complication led to
hepatic failure and hepatic coma. These findings differ from those previously reported in the literature,
possibly because our patients had advanced hepatomas which had already infiltrated the great vessels of the
liver, and/or the remaining liver was seriously cirrhotic. We found that blood-coagulation monitoring and
anticoagulation therapy yielded encouraging results, and it is our hope that this treatment in combination
with immunotherapy will prolong the survival of these patients. |