Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
권호 표지

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

ICGR15가 10% 이상인 간세포암 환자에서 대량 간절제술에 따른 술후 간부전의 예측인자

  • Lee, Chae Yoon (Department of Surgery, Kyungpook National University Hospital) ;
  • Hwang, Yoon Jin (Department of Surgery, Kyungpook National University Hospital) ;
  • Chun, Jae Min (Department of Surgery, Kyungpook National University Hospital) ;
  • Kwon, Hyung Joon (Department of Surgery, Kyungpook National University Hospital) ;
  • Son, Joon Ho (Department of Surgery, Kyungpook National University Hospital) ;
  • Kim, Sang Gul (Department of Surgery, Kyungpook National University Hospital) ;
  • Yun, Yung Kook (Department of Surgery, Kyungpook National University Hospital)
  • Published : 2011.02.28
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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 (${\geq}$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.

Keywords

References

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