Surgical risks for patients with hepatolithiasis undergoing hepatectomy.
- Author:
Yong XU
1
;
Zuhai REN
;
Shaihong ZHU
Author Information
1. Department of General Surgery, Third Xiangya Hospital, Central South University, Changsha, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Bile Duct Diseases;
surgery;
Bile Ducts, Intrahepatic;
surgery;
Cholelithiasis;
surgery;
Female;
Hepatectomy;
adverse effects;
Humans;
Liver Failure;
etiology;
prevention & control;
Liver Function Tests;
Male;
Middle Aged;
Patient Selection;
Postoperative Complications;
prevention & control;
Preoperative Care;
Retrospective Studies;
Risk Factors
- From:
Journal of Central South University(Medical Sciences)
2012;37(9):916-919
- CountryChina
- Language:Chinese
-
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.
