Abstract | BACKGROUND: METHODS: A total of 111 patients were retrospectively reviewed. Patient background, pre- and intraoperative parameters, and a ratio of remnant liver volume/entire liver volume (RLV/ELV) as a volumetric parameter were compared between patients with and without postoperative hyperbilirubinemia and subsequent fatal outcome. RESULTS: Logistic regression indicated that only RLV/ELV ratio was an independent factor influencing postoperative hyperbilirubinemia, and RLV/ELV ratio and indocyanine green retention rate at 15 minutes (ICG-R15) were factors affecting survival. Patients with RLV/ELV less than 40% had 7.6 times the risk of postoperative hyperbilirubinemia, while no patients with RLV/ELV greater than 40% and ICG-R15 less than 25% died of liver failure. CONCLUSIONS:
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Authors | Kosuke Suda, Masayuki Ohtsuka, Satoshi Ambiru, Fumio Kimura, Hiroaki Shimizu, Hiroyuki Yoshidome, Masaru Miyazaki |
Journal | American journal of surgery
(Am J Surg)
Vol. 197
Issue 6
Pg. 752-8
(Jun 2009)
ISSN: 1879-1883 [Electronic] United States |
PMID | 18778802
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Biliary Tract Neoplasms
(surgery)
- Female
- Hepatectomy
(adverse effects)
- Hepatic Insufficiency
(etiology)
- Humans
- Male
- Middle Aged
- Retrospective Studies
- Risk Factors
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