CRITERIA FOR SAFE HEPATIC RESECTION
CRITERIA FOR SAFE HEPATIC RESECTION
复制标题
DOI：
10.1016/s0002-9610(99)80227-x
复制
发表时间：
1995-06-01
影响因子：
3
通讯作者：
KAKAZU, T
中科院分区：
文献类型：
--
作者：
MIYAGAWA, S;MAKUUCHI, M;KAKAZU, T
背景技术背景：为了降低肝切除术后的发病率，作者检查了预测变量的影响，包括：年龄、性别、术前风险因素、血清总胆红素水平、15分钟时吲哚菁绿色的血浆留存率、基础肝病、手术情绪丧失、手术时间、全血输注量、血管闭塞时间、采用的外科手术和肝切除程度、患者和方法：自1990年1月至1992年12月，根据我们制定的肝切除术标准，包括有无腹水、血清总胆红素水平和慢性肝病患者15分钟吲哚菁绿色的血浆留存率，对172例患者进行了肝切除术，并发症发生率为37.2%。结果：多因素Logistic回归分析显示，手术时间越长、肝切除越大、术前有无心血管疾病越危险。缩短手术时间而不增加手术失血量和进一步的方式，使大肝切除术更安全是未来的问题要解决。
BACKGROUND: To lower morbidity after hepatic resection, the authors examined the influence of predictor variables including: age, sex, preoperative risk factors, serum total bilirubin level, plasma retention rate of indocyanine green at 15 minutes, underlying liver disease, operative Mood loss, operation time, amount of whole blood transfused, vascular occlusion time, surgical procedure employed, and extent of hepatic resection,PATIENTS AND METHODS: Between January 1990 and December 1992, 172 patients underwent hepatic resection based on our own criteria for hepatectomy, including the presence or absence of ascites, serum total bilirubin level, and the plasma retention rate of indocyanine green at 15 minutes in patients with chronic liver disease, The morbidity rate was 37.2%, and the hospital and operative mortality rates were 2.3% and 0.6%.RESULTS: The multiple logistic model revealed that the risk of morbidity was increased by longer operation time, major hepatic resection, and preoperative cardiovascular disease,CONCLUSIONS: Shortening the operation time without increasing operative blood loss and further modalities for making major hepatectomy safer are future problems to be addressed.