Major Hepatectomy in the HCC Patient with an Indocyanine Green Retention Rate at 15 Minutes of 10% or Higher: Predictive Values of Postoperative Hepatic Failure
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 1-6, 2011.
Article
in Korean
| WPRIM
| ID: wpr-211838
ABSTRACT
PURPOSE:
Major hepatic resection is sometimes inevitable in patients with impaired liver function. We evaluated risk factors that cause postoperative liver failure after major hepatic resection in patients with over a 10% Indocyanine Green Retention rate at 15 minutes (ICGR15).METHODS:
From Apr. 2002 to Aug. 2009, 32 patients who had over a 10% rate of ICGR15 underwent major hepatic resection (> or =4 Couinaud segments). Among the 32, 9 patients showed postoperative liver failure (less than 50% prothrombine time and/or 5 mg/dl or higher of total bilirubin). This high-risk group was compared to the rest who constituted a low-risk group.RESULTS:
Patients with esophageal varix were more common in the high risk group (4 versus 2, p=0.043). Other clinicopathologic features showed no difference between the two groups. We had 2 in-hospital deaths in the high risk group.CONCLUSION:
Great care is needed in patients with esophageal varix and limited liver function during major hepatic resection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Retention, Psychology
/
Prothrombin
/
Esophageal and Gastric Varices
/
Risk Factors
/
Liver Failure
/
Carcinoma, Hepatocellular
/
Hepatectomy
/
Indocyanine Green
/
Liver
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Year:
2011
Type:
Article
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