Surgical risks for patients with hepatolithiasis undergoing hepatectomy / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
;
(12): 916-919, 2012.
Article
in Chinese
| WPRIM
| ID: wpr-814765
ABSTRACT
OBJECTIVE@#To evaluate the risk of hepatectomy by detecting liver functional reserve preoperatively for patients with primary hepatolithiasis.@*METHODS@#The clinical data of 134 patients with primary hepatolithiasis who underwent hepatectomy were reviewed. In terms of evaluation methods for preoperative liver functional reserve they were divided into a Child-Pugh group (group CP) and an indocyanine green group (group ICG). The preoperative and intraoperative parameters, and the incidence of postoperative complications were analyzed.@*RESULTS@#Liver failure was more common in group CP (12.85%) than that in group ICG (1.56%, P<0.05). The overall complication rate in group CP (37.14%) was higher than in group ICG (18.75%, P<0.05).@*CONCLUSION@#ICG15 retention test is more accurate in evaluating liver functional reserve than Child-Pugh scoring system. It may predict the postoperative liver failure in patients with primary hepatolithiasis undergoing hepatectomy, decrease postoperative complications, and increase operation safety.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
General Surgery
/
Bile Duct Diseases
/
Bile Ducts, Intrahepatic
/
Preoperative Care
/
Cholelithiasis
/
Retrospective Studies
/
Risk Factors
/
Liver Failure
/
Patient Selection
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Central South University(Medical Sciences)
Year:
2012
Type:
Article
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