THE INDOCYANINE GREEN TEST ENABLES PREDICTION OF POSTOPERATIVE COMPLICATIONS AFTER HEPATIC RESECTION
THE INDOCYANINE GREEN TEST ENABLES PREDICTION OF POSTOPERATIVE COMPLICATIONS AFTER HEPATIC RESECTION
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DOI：
10.1007/bf01655848
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发表时间：
1987-10-01
影响因子：
2.6
通讯作者：
SUGIMACHI, K
中科院分区：
文献类型：
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作者：
MATSUMATA, T;KANEMATSU, T;SUGIMACHI, K
我们使用术后第三天测量的吲哚菁绿 (ICG) 保留率与术后立即估计值的比率，评估了 50 名接受肝切除术的患者的术后病程。该比率表示为残余肝脏 ICG 指数。 A组包括22例残肝ICG指数小于1.0的患者，这意味着术后第三天15分钟的ICG治疗率与术后立即相比有所改善。 B组中有28例患者术后第三天指数超过1.0，表明肝切除后ICG清除率加剧。术后发生腹内败血症、高胆红素血症等严重并发症，A组2例（9.1%），B组16例（57.1%）（P < 0.001）。 A 组有 1 名患者（4.5%）死亡，B 组有 9 名患者（32.1%）在住院期间死亡（p < 0.02）。术前肝功能和临床参数没有显着差异。这些观察结果表明，与术后立即相比，术后第三天 ICG 清除率的改善有助于预测肝切除患者的术后病程。
We evaluated the postoperative course of 50 patients who underwent hepatic resection, using the ratio of indocyanine green (ICG) retention rates measured on the third postoperative day to values estimated immediately after the operation. This ratio was expressed as the remnant liver ICG index. Group A included 22 patients with a remnant liver ICG index of less than 1.0, which meant that the ICG treatment rate at 15 minutes on the third postoperative day showed improvement, compared to events immediately after the operation. In group B, there were 28 patients whose index on the third postoperative day was over 1.0, thereby indicating exacerbation of the ICG clearance rate after hepatic resection. Serious complications including intraabdominal sepsis and hyperbilirubinemia occurred postoperatively in 2 (9.1%) in group A and 16 (57.1%) in group B (P < 0.001). One patient (4.5%) in group A died, while 9 patients (32.1%) in group B died during hospitalization (p < 0.02). There were no significant differences with regard to preoperative liver function and clinical parameters. These observations suggest that improvement in the ICG clearance rate on the third postoperative day, compared to that immediately after the operation, is useful to predict the postoperative course of hepatectomized patients.