Abstract:
:Liver function assessment is important to ensure safe surgical procedures in patients with hepatocellular disease. Because the liver influences a wide variety of functions, including protein synthesis and metabolic, immune and storage functions, no single parameter is sufficient to adequately address all of these functions. We reviewed the relevant literature concerning the scoring systems, functional tests, plasma parameters and imaging modalities currently used to evaluate the liver function in an attempt to determine which parameters provide the most comprehensive and useful results. While the Child-Pugh scoring system is the gold standard for liver disease assessment, the liver damage grading system recommended by the Liver Cancer Study Group of Japan is also useful. Various models for end-stage liver disease scoring are used for organ allocation. While the indocyanine green clearance test is widely accepted throughout the world, other assessments have not been used routinely for clinical evaluations. The levels of plasma proteins, including albumin, prealbumin, retinol binding protein, apolipoprotein, coagulation factors and antithrombin III, represent the liver productivity. Liver fibrotic markers also correlate with liver function. Imaging modalities such as (99m)Tc-galactosyl serum albumin scintigraphy, (99m)Tc-mebrofenin hepatobiliary scintigraphy and transient elastography are also available, but future studies are needed to validate their clinical efficacy.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Mizuguchi T,Kawamoto M,Meguro M,Hui TT,Hirata Kdoi
10.1007/s00595-013-0534-4subject
Has Abstractpub_date
2014-01-01 00:00:00pages
1-10issue
1eissn
0941-1291issn
1436-2813journal_volume
44pub_type
杂志文章,评审相关文献
SURGERY TODAY文献大全abstract::This report describes a case of carcinosarcoma of the duodenum. Carcinosarcoma of the duodenum is a very rare tumor. A 72-year-old man was referred to the hospital because of appetite loss. Endoscopy demonstrated an irregularly depressed lesion (type 3) in the descending portion of the duodenum opposite to the ampulla...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-009-3955-3
更新日期:2009-01-01 00:00:00
abstract::Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas present more commonly in the elderly. This report describes a case of IPMN in a 36-year-old man who presented with obstructive jaundice and weight loss. The initial investigation by computed tomography scan revealed a cystic lesion in the head of pancrea...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4217-0
更新日期:2011-02-01 00:00:00
abstract::The aim of this study was to investigate the expression of the immediate early genes (IEGs), c-fos and c-jun, in the rat kidney and liver in two types of hemorrhage shock/resuscitation models. In the first group, hemorrhagic shock was induced by the withdrawal of blood through the carotid artery. A mean arterial blood...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050193
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:The prognosis for gastric cancer patients with peritoneal metastasis is poor. Many studies have reported that the neutrophil/lymphocyte ratio (NLR) might be useful to predict the degree of progression of gastric cancer. In this study, we attempted to evaluate whether the NLR and other related laboratory paramet...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0917-1
更新日期:2014-11-01 00:00:00
abstract::Stapled hemorrhoidopexy (SH) has become a widely accepted surgical procedure for hemorrhoids; however, one of the most serious complications of this technique is severe bleeding. We report a case of extensive hemoperitoneum after SH for third-degree hemorrhoids. On postoperative day (POD) 1, the patient complained of ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3363-x
更新日期:2007-01-01 00:00:00
abstract::Although lateral internal sphincterotomy is widely accepted as the treatment of choice for anal fissures, we report our experience of successfully treating 195 consecutive patients with posterior chronic anal fissures by performing fissurectomy with midline sphincterotomy and anoplasty (FPSA). The surgical technique i...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02388152
更新日期:1997-01-01 00:00:00
abstract::We herein report the case of a 69-year old woman presenting with an abdominal mass, who was found to have a mixed mesodermal tumor (MMT) of the cecum. Imaging studies and endoscopic investigations were consistent with the diagnosis of a nonepithelial malignant tumor of the cecum. On laparotomy, a knuckle-sized firm ma...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02388224
更新日期:1997-01-01 00:00:00
abstract::We report a rare case of capillary hemangioma of the liver in an adult. The patient was a 55-year-old man, admitted for investigation of a hepatic tumor. The tumor was seen as a hypoechoic mass with a peripheral hypoechoic ring on ultrasonography. Computed tomography (CT) showed an enhancement pattern different from t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3007-6
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:This study evaluated a better treatment for patients with obstructive colorectal cancer (CRC) that have a poor prognosis. METHOD:This study compared the outcomes of 138 patients with obstructive CRC, including 70 primary resections, 50 resections after bowel decompression using an ileus tube, and 18 delayed re...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0116-2
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:Double tract reconstruction (DT) after proximal gastrectomy (PG) is considered beneficial for postoperative nutrition status by preserving the physiological passage of food. We conducted this study to assess postoperative nutrition status based on food passage after this operation. METHODS:The subjects of this...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01799-5
更新日期:2019-09-01 00:00:00
abstract::We report a rare case of gastric perforation due to a bulimic attack in a 17-year-old girl suffering from anorexia nervosa. She was admitted to our hospital with the chief complaint of abdominal pain following bulimia. Initially, her symptoms were reduced after drainage using a nasogastric tube. Eight hours later, how...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950050618
更新日期:2000-01-01 00:00:00
abstract::Open repair is the "gold standard" treatment for abdominal aortic aneurysm (AAA) and although considered safe, this operation is very invasive for high-risk patients with severe aortic valve stenosis (AS) because the left ventricular after-load changes sharply with the clamping and unclamping of the aorta. We prevente...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0263-0
更新日期:2012-11-01 00:00:00
abstract::Between June 1991 and February 1999, three patients suffered ascending aortic dissection as a complication of cardiopulmonary bypass operations with aortic cannulation at our hospital. The dissection occurred during the operation in two of the three patients and several months after the operation in one. Among a total...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950070026
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:The use of aprotinin in cardiac surgery is associated with overriding safety concerns. Therefore, there is increased research on alternatives. This study investigated the relative benefits of strategic leukofiltration on polymer-coated extracorporeal circuits (ECC), aprotinin, and combined therapy in high-risk ...
journal_title:Surgery today
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00595-011-0012-9
更新日期:2012-04-01 00:00:00
abstract:PURPOSE:The Cox maze IV (CMIV) procedure is being used increasingly frequently for surgical ablation of atrial fibrillation (AF). This study aimed to identify the risk factors of the need for postoperative pacemaker implantation (PMI) after CMIV. METHODS:Preoperative, intraoperative, and postoperative data were retros...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1614-7
更新日期:2018-05-01 00:00:00
abstract:PURPOSE:There has been speculation that weather changes correlate with the incidence of spontaneous pneumothorax, although this has not been verified. Moreover, there are no significant data available on the meteoropathic pneumothorax in Asia. The aim of this study was to investigate the possible correlation and to com...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4482-y
更新日期:2011-10-01 00:00:00
abstract:PURPOSE:To investigate the effects of antibiotics and the probiotic, Saccharomyces boulardii, on indigenous microflora and bacterial translocation (BT) in burned rats. METHODS:Twenty-three male albino rats were divided into a sham burn group (group 1, n = 7) exposed to 21 degrees C water, a burn + antibiotic group (gr...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2677-1
更新日期:2004-01-01 00:00:00
abstract::Cytomegalovirus (CMV) infection is associated with significant morbidity and mortality in immunocompromised patients. In immunocompetent individuals, the infection is usually subclinical but it can sometimes be life threatening. We describe a case of fatal CMV proctitis in a 71-year-old man following an Ivor-Lewis eso...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3335-1
更新日期:2007-01-01 00:00:00
abstract::Massive intraoperative blood loss is a major cause of complications following hepatectomy. To evaluate the efficacy of intraportal prostaglandin E1 (PGE1) for preventing liver deterioration in hepatectomy patients with an intraoperative blood loss of over 2000 ml, a retrospective analysis was conducted on 10 patients ...
journal_title:Surgery today
pub_type: 临床试验,杂志文章
doi:10.1007/BF00311791
更新日期:1996-01-01 00:00:00
abstract::Between 1985 and 1993, palliative surgery was performed on 13 pediatric patients who had complex cardiovascular anomalies associated with right isomerism. The patients included two neonates, ten infants, and one child who were divided into two groups according to whether or not a total anomalous pulmonary venous conne...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311309
更新日期:1995-01-01 00:00:00
abstract::Most complications after appendectomy occur within 10 days; however, we report herein the unusual case of a patient in whom a wound abscess was detected more than 10 years after an appendectomy. A 26-year-old woman presented to our hospital with nausea and vomiting, pain, and a mass in the right lower abdominal wall. ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482790
更新日期:1999-01-01 00:00:00
abstract::The majority of leiomyosarcomas occur in the muscular layers of the gastrointestinal tract and uterus. Primary leiomyosarcomas rarely arise in the veins of the lower extremities. Primary leiomyosarcoma of the superficial femoral vein is extremely uncommon. We herein present a case of a 69-year-old man with a primary l...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4507-6
更新日期:2011-12-01 00:00:00
abstract:PURPOSE:We evaluated the role of intraoperative frozen section (FS) in the surgical management of solitary thyroid nodules, as its true value is a subject of some controversy. METHODS:We reviewed the records of 206 consecutive patients operated on for solitary thyroid nodules. All patients had undergone both preoperat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200167
更新日期:2002-01-01 00:00:00
abstract::A true aneurysm of the right aortic arch which accompanies various branching characteristics is very rare. We report herein the successful surgical treatment of an elderly patient found to have an Edwards type IIIB right aortic arch aneurysm encircling and compressing the trachea. The complete right aortic arch and ri...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02483972
更新日期:1998-01-01 00:00:00
abstract::Lactate dehydrogenase (LDH) and aspartate aminotransferase (AST) activities and total protein concentrations were examined in the postrinsing solutions from rat lungs preserved in phosphate-buffered saline (PBS), Euro-Collins (E-C) solution, or low-potassium E-C solution for 8 h at 4 degrees C, 10 degrees C, or 20 deg...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00309968
更新日期:1996-01-01 00:00:00
abstract::Interleukin-6 (IL-6) is an important mediator of the acute phase response and a sensitive marker of tissue damage. This study was conducted to investigate the fluctuation of serum cytokine and hormonal levels during the perioperative period after laparoscopic-assisted colectomy (LAC), and the data were compared with t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050024
更新日期:2000-01-01 00:00:00
abstract::The immune function of peripheral blood cells and cells from the pleural and abdominal effusions of patients with advanced cancer was compared to that of peripheral blood cells from controls. The parameters examined included lymphocyte subsets, natural killer (NK) cell activity, and anti-Daudi and lymphokine-activated...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00730624
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to investigate the effects of untreated and treated hypertension on abdominal wall healing. METHODS:Thirty-two spontaneously hypertensive rats (SHR) were randomly allocated into two groups: H (n = 16), untreated and E (n = 16), treated with enalapril (40 mg/kg per day). Group C (n = 1...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3368-5
更新日期:2007-01-01 00:00:00
abstract::Hepatic steatosis is one of the most common hepatic disorders in developed countries. The epidemic of obesity in developed countries has increased with its attendant complications, including metabolic syndrome and non-alcoholic fatty liver disease. Steatotic livers are particularly vulnerable to ischemia/reperfusion i...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-013-0736-9
更新日期:2014-09-01 00:00:00
abstract::The aim of the present review was to investigate whether host-tumor interactions are causal or consecutive clinical factors associated with surgical stress that influence the long-term survival after a curative resection of colorectal cancer. A Medline/PubMed search was conducted to identify the relevant articles inve...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-007-3674-6
更新日期:2008-01-01 00:00:00