Right Hepatectomy for Hepatocellular Carcinoma in Patients with an Indocyanine Green Retention Rate at 15 Minutes of 10% or Higher
Right Hepatectomy for Hepatocellular Carcinoma in Patients with an Indocyanine Green Retention Rate at 15 Minutes of 10% or Higher
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DOI：
10.1159/000206151
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发表时间：
2009-01-01
影响因子：
2.7
通讯作者：
Takasaki, Ken
中科院分区：
文献类型：
--
作者：
Ariizumi, Shun-ichi;Yamamoto, Masakazu;Takasaki, Ken
背景/目的：对于15 min吲哚菁绿色留存率（ICGR（15））≥ 10%的肝细胞癌（HCC）患者，右肝切除术后肝功能衰竭仍是一个有争议的问题。研究方法：在1995年至2004年期间，98例ICGR（15）为10%或更高的患者计划接受右肝切除术或三部分切除术治疗HCC。使用计算机断层扫描测量不包括肿瘤的肝切除体积（HR）。根据ICGR（15）和%HR，用对数图确定每例患者的允许HR（AHR），并对54例HR患者的肝功能衰竭和死亡率进行评估
Background/Aims: Liver failure after right hepatectomy for hepatocellular carcinoma (HCC) in patients with an indocyanine green retention rate at 15 min (ICGR(15)) of 10% or higher remains a controversial issue. Methods: Between 1995 and 2004, 98 patients with an ICGR(15) of 10% or higher were scheduled to undergo right hepatectomy or tri-sectionectomy for HCC. The hepatic resection volume (HR) excluding the tumor was measured using computed tomography. The allowable HR (AHR) was determined in each patient with a logarithmic graph based on the ICGR(15) and the %HR. Liver failure and mortality were evaluated between 54 patients with HR