Liver Resection in a Tertiary University Hospital in Damascus- trends Related to the Political Strife and Social Crisis

Basel Ahmad; Mohamad Essam Marwa; Khaled Turkmani; Tareq Ahmad; Ramez Baghdadi; Shaimaa Aboudamaah; Khetam Alkhatib; Mohamad Ahmad

doi:10.31557/apjcc.2020.5.2.79-82

Authors

Basel Ahmad Surgery resident
Mohamad Essam Marwa medical student, Damascus University & Faculty of Medicine (M.D now) e-mail:
Khaled Turkmani medical student, Damascus University & Faculty of Medicine (M.D now)
Tareq Ahmad medical student, Damascus University & Faculty of Medicine (M.D now)
Ramez Baghdadi medical student, Damascus University & Faculty of Medicine (M.D now)
Shaimaa Aboudamaah MD, Damascus University Faculty of Medicine
Khetam Alkhatib MD, MSc, Damascus University Faculty of Medicine. Al_Mouasat University Hospital, Internal medicine Department
Mohamad Ahmad MD, MSc, PhD ,Professor in Damascus University Faculty of Medicine. Head of surgery Department, faculty of medicine, Damscus universityChief of Liver Surgery and Transplant team in Al-Assad University Hospital

DOI:

https://doi.org/10.31557/apjcc.2020.5.2.79-82

Keywords:

Key words: liver resection, Damascus, Syria, hepatectomy,

Abstract

Background: Liver resection is a major operation requires technical training and experience and is expensive for the health care system. Aim: Our aim was to review trends in liver resection in Syria to help our country and others like Syria to understand the hardships for the country’s health care policy.
Methods: We analyzed retrospectively the results of 95 patients who underwent a liver resection from January 2009 through December 2015 at our tertiary university hospital in Damascus.
Results: The number of annual liver resections increased over this 6 year period, but there were several years during which the numbers were dramatically less, related to the social crisis. Of them, 63 underwent resection for malignant neoplasms (66%) and 30 for non-malignant disorders (32%).
Conclusion: Dedication of our surgeons to hepatic surgery is increasing in Syria with mortality rates close to international standards despite the ongoing social unrest and political strife.