Skip to main content
SpringerLink
Log in

Erkrankungen der Leber

  • Chapter
Praxis der Viszeralchirurgie. Gastroenterologische Chirurgie

  • 5571 Accesses

Zusammenfassung

Die Leber wiegt im Mittel 1800 g beim Mann und 1400 g bei der Frau. Wie aus der Prometheussage bekannt, besitzt die Leber eine ausgeprägte Regenerationsfähigkeit, solange das Organ nicht stark geschädigt und fibrotisch umgewandelt ist. Hämodynamisch wird die Leber über die A. hepatica propria und die V. portae versorgt, wobei »Feedbackmechanismen « zwischen beiden Systemen bestehen. Ein System allein vermag die Leberperfusion zu sichern, weshalb eine Pfortaderthrombose ebenso wie ein Verschluss der A. hepatica propria in der Regel überlebt wird.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

37.1.5 Literatur

  • Gebel M, Caselitz M, Manns MP (1998) Sonographische Diagnostik von Raumforderungen der Leber. Ultraschall Klin Prax 11:109–116

    Google Scholar 

  • Helmberger T, Holzknecht N, Gregor M, Gauger J, Helmberger R, Reiser M (1998) Fokale Lebererkrankungen. Radiologe 38:263–269

    Article  PubMed  CAS  Google Scholar 

  • Laing ADP, Gibson RN (1998) MRI of the liver. J Magn Res Imaging 8:337–345

    Article  CAS  Google Scholar 

  • Lock G, Schölmerich J (1998) Vorgehen bei sonographischer nachgewiesener Raumforderung der Leber. Ultraschall Klin Prax 11:117–120

    Google Scholar 

  • Mahfouz AE, Hamm B, Mathieu D (1996) Imaging of metastases to the liver. Eur Radiol 6:607–614

    Article  PubMed  CAS  Google Scholar 

  • Oberstein A, Kauczor HU, Mildenberger P, Ibe M, Teifke A, Rieker O, Gerken G, Thelen M (1996) Drei-Phasen-Spiral-CT in der Diagnostik von Lebererkrankungen: Vergleich mit der CT-Arteriographie und - Arterioportographie. Fortschr Röntgenstr 164:449–456

    Article  CAS  Google Scholar 

  • Valls C, Lopez E, Guma A, Gil M, Sanchez A, Andia E, Serra J, Moreno V, Figueras J (1998) Helical CT versus CT arterial portography in the detection of hepatic metastasis in colorectal carcinoma. Am J Roentgenol 170:1341–1347

    CAS  Google Scholar 

37.2.6 Literatur

  • Aygun E, Sahin M, Odev K, Vatansev C, Aksoy F, Paksoy Y, Kartal A, Karahan O (2001) The management of liver hydatid cysts by percutaneous drainage. Can J Surg 45(1):69–70

    Google Scholar 

  • Baskaran V, Patnaik PK (2004) Feasibility and safety of laparoscopic management of hydatid disease of the liver. JSLS 8:359–363

    PubMed  Google Scholar 

  • Belli L, Del Favero E, Marni A (1983) Resection versus pericystectomy in the treatment on hydatidosis of the liver. Am J Surg 145:239–242

    Article  PubMed  CAS  Google Scholar 

  • Bresson-Hadni S, Koch S, Miguet JP, Gillet M, Mantion GA, Heyd B, Vuitton DA; European Group of Clinicians (2003) Indications and results of liver transplantation for Echinococcus alveolar infection: an overview. Langenbecks Arch Surg 388(4):231–238

    Article  PubMed  Google Scholar 

  • Brunetti E, Troia G, Garlaschelli AL, Gulizia R, Filice C (2004) Twenty years of percutaneous treatments for cystic echinococcosis: a preliminary assessment of ther use and safety. Parasitologia 46:367–370

    CAS  Google Scholar 

  • Brunetti E, Kern P, Vuitton DA, Writing Panel for WHO-Informal Working Group on Echinococcosis (2010) Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humas. Acta Tropica 114:1–16

    Article  PubMed  Google Scholar 

  • Emre A, Ozden I, Bilge O, Arici C, Alper A, Okten A, Acunas B, Rozanes I, Acarli K, Tekant Y, Ariogul O (2003) Alveolar echinococcosis in Turkey. Experience from an endemic region. Dig Surg 20(4):301–305

    Article  PubMed  Google Scholar 

  • Kayaalp C, Bzeizi K, Demirbag AE, Akoglu M (2002) Biliary complications after hydatid liver surgery: incidence and risk factors. J Gastrointest Surg 6(5):706–712

    Article  PubMed  Google Scholar 

  • Men S, Hekimoglu B, Yucesoy C, Arda IS, Baran I (1999) Percutaneous treatment of hepatic hydatid cysts: an alternative to surgery. AJR Am J Roentgenol 172(1):83–89

    PubMed  CAS  Google Scholar 

  • Sayek I, Onat D (2001) Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg 25(1):21–27

    Article  PubMed  CAS  Google Scholar 

  • Siles-Lucas MM, Gottstein BB (2001) Molecular tools for the diagnosis of cystic and alveolar echinococcosis. Trop Med Int Health 6:463–475

    Article  PubMed  CAS  Google Scholar 

  • Smego RA Jr, Bhatti S, Khaliq AA, Beg MA (2003) Percutan aspirationinjection- reaspiration drainage plus albendazole or mebendazole for hepatic cystic echinococcosis: a meta-analysis. Clin Infect Dis 37(8):1073–1083

    Article  PubMed  CAS  Google Scholar 

  • WHO Informal Working Group on Echinococcosis (1996) Guidelines for treatment of cystic and alveolar echinococcois in humans. Bull World Health Organ 74:231–242

    Google Scholar 

  • WHO Informal Working Group on Echinococcosis (2003) International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 85(2):253–261

    Article  Google Scholar 

  • Wilson JF, Rausch RL, McMahon BJ, Schantz PM (1992) Parasitical effect of chemotherapy in alveolar hydatid disease: review of experience with mebendazole and albendazole in Alaskan Eskimos. Clin Infect Dis 15(2):234–249

    Article  PubMed  CAS  Google Scholar 

37.3.8 Literatur

  • Calne RY, McMaster P, Pentlow BD (1979) The treatment of major liver trauma by primary packing with transfer of the patient for definitive treatment. Br J Surg 66:338–339

    Article  PubMed  CAS  Google Scholar 

  • Coughlin PA, Spinger MD, Lodge JPA, Pollard SG, Prasad KR, Toogood GJ (2004) Management of blunt liver trauma in a tertiary referral centre. Br J Surg 91:317–321

    Article  PubMed  CAS  Google Scholar 

  • Fingerhut A, Trunkey D (2000) Surgical management of liver injuries in adults – current indications and pitfalls of operative and nonoperative policies: A review. Eur J Surg 166:676–686

    Article  PubMed  CAS  Google Scholar 

  • Haller JA, Pat Papa RN, Drugas G, Colombani P (1994) Nonoperative management of solid organ injuries in children. Is it safe? Ann Surg 219:625–631

    Article  PubMed  Google Scholar 

  • Hollands MJ, Little JM (1991) Non-operative management of blunt liver injuries. Br J Surg 78:968–972

    Article  PubMed  CAS  Google Scholar 

  • Khaneja SC, Pizzi WF, Barie PS, Ahmed N (1997) Mangement of penetrating juxtahepatic inferior vena cava injuries under total vascular occlusion. J Am Coll 184:469–474

    CAS  Google Scholar 

  • Krige JEJ, Bornman PC, Terblanche J (1992) Therapeutic perihepatic packing in complex liver trauma. Br J Surg 79:43–46

    Article  PubMed  CAS  Google Scholar 

  • Oldhafer KJ, Ringe B, Pichlmayr R (1993) Die Therapie des schweren Lebertraumas – gibt es eine Indikation zur Lebertransplantation? Unfallchirurg 96:497–498

    PubMed  CAS  Google Scholar 

  • Pachter HL, Spencer FC, Hofstetter STR et al. (1986) The management of juxtahepatic venous injuries without an atriocaval shunt: Preliminary clinical observations. Surgery 99:569–575

    PubMed  CAS  Google Scholar 

  • Parks RW, Chrysos E, Diamond T (1999) Management of liver trauma. Br J Surg 86:1121–1135

    Article  PubMed  CAS  Google Scholar 

  • Richardson JD, Franklin GA, Lukan JK, Carrillo EH, Spian DA, Miller FB, Wilson MA, Polk HC, Flint LM (2000) Evolution in the Management of hepatic trauma: a 25-year perspective. Ann Surgery 3:324–330

    Article  Google Scholar 

  • Ringe B, Pichlmayr R (1995) Total hepatectomy and liver transplantation: a life-saving procedure in patients with severe hepatic trauma. Br J Surg 82:837–839

    Article  PubMed  CAS  Google Scholar 

  • Rutledge R, Hunt JP, Lentz CW et al. (1995) A statewide, populationbased time-series analysis of the increasing frequency of nonoperative management of abdominal solid organ injury. Ann Surgery 222:311–326

    Article  CAS  Google Scholar 

  • Schrock T, Blaisdell FW, Mathewson C Jr (1968) Management of blunt trauma to the liver and hepatic veins. Arch Surg 96:698–704

    PubMed  CAS  Google Scholar 

  • Strong RW, Lynch STV, Wall DR, Liu C-L (1998) Anatomic resection for severe liver trauma. Surgery 123:251–257

    Article  PubMed  CAS  Google Scholar 

  • Strong RW (1999) The Management of blunt liver injuries. Aust NZ J Surg 69:609:616

    Article  CAS  Google Scholar 

  • Sturm J, Saeger HD, Hagmüller E, Trede M (1994) Mesh-Wrapping der Leber. Chirurg 65:382–387

    PubMed  CAS  Google Scholar 

  • Wemyss-Holden SA, Bruening M, Launois B, Maddern GJ (2002) Management of liver trauma with implications for the rural surgeon 72:400–404

    Google Scholar 

  • Yellin AE, Chaffee CB, Donovan AJ (1971) Vascular isolation in treatment of juxtahepatic venous injuries. Arch Surg 102:566–573

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klin. Abt. für Allgemeinund Transplantationschirurgie, Universitätsklinik Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich

    Prof. Dr. med. Margreiter R.

  2. Klinik für Chirurgie Tellstrasse, Kantonsspital Aarau, 5001, Aarau, Schweiz

    Prof. Dr. med. Schlumpf R.

  3. Chirurgische Klinik, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen

    OA Dr. med. M. Schmeding

  4. Chirurgische Klinik, Spital Männedorf, Asylstraße 10, 8708, Männedorf, Schweiz

    Dr. med. Wydler J.

Authors
  1. Prof. Dr. med. Margreiter R.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. med. Schlumpf R.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. OA Dr. med. M. Schmeding
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dr. med. Wydler J.
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Universitätsklinikum Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg

    Jörg Rüdiger Siewert (Leitender Ärztlicher Direktor und Vorstandsvorsitzender) (Leitender Ärztlicher Direktor und Vorstandsvorsitzender)

  2. Universitätsklinikum Marburg, Baldingerstraße, 35043, Marburg

    Matthias Rothmund (Dekan) (Dekan)

  3. Universitätsklinik Aachen, Pauwelsstraße 30, 52074, Aachen

    Volker Schumpelick (Direktor der Chirurgischen) (Direktor der Chirurgischen)

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg New York

About this chapter

Cite this chapter

R., M., R., S., Schmeding, M., J., W. (2011). Erkrankungen der Leber. In: Siewert, J.R., Rothmund, M., Schumpelick, V. (eds) Praxis der Viszeralchirurgie. Gastroenterologische Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14223-9_37

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-14223-9_37

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-14222-2

  • Online ISBN: 978-3-642-14223-9

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation