지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.3
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- 1 - 6 (6page)
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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 (≥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.
Methods: From Apr. 2002 to Aug. 2009, 32 patients who had over a 10% rate of ICGR15 underwent major hepatic resection (≥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.
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참고문헌 (27)
참고문헌 신청
1. [학술지(정기간행물)] - Park JW / 2004 / Korean Liver Cancer Study Group and National Cancer Center. Practice guideline for diagnosis and treatment of hepatocellular carcinoma / Korean J Hepatol 10 : 88 ~ 98
2. [학술지(정기간행물)] - Bruix J, Sherman M / 2005 / Practice Guidelines Committee, American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma / Hepatology 42 : 1208 ~ 1236
3. [학술지(정기간행물)] - Poon RT / 2001 / Improving survival results after resection of hepatocellular carcinoma: a prospective study of 377 patients over 10 years / Ann Surg 234 : 63 ~ 70
4. [학술지(정기간행물)] - Cha CH / 2003 / Resection of hepatocellular carcinoma in patients otherwise eligible for transplantation / Ann Surg 238 : 315 ~ 321
5. [학술지(정기간행물)] - Belghiti J / 2003 / Resection prior to liver transplantation for hepatocellular carcinoma / Ann Surg 238 : 885 ~ 892
2. [학술지(정기간행물)] - Bruix J, Sherman M / 2005 / Practice Guidelines Committee, American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma / Hepatology 42 : 1208 ~ 1236
3. [학술지(정기간행물)] - Poon RT / 2001 / Improving survival results after resection of hepatocellular carcinoma: a prospective study of 377 patients over 10 years / Ann Surg 234 : 63 ~ 70
4. [학술지(정기간행물)] - Cha CH / 2003 / Resection of hepatocellular carcinoma in patients otherwise eligible for transplantation / Ann Surg 238 : 315 ~ 321
5. [학술지(정기간행물)] - Belghiti J / 2003 / Resection prior to liver transplantation for hepatocellular carcinoma / Ann Surg 238 : 885 ~ 892
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UCI(KEPA) : I410-ECN-0101-2014-514-001274544