Abstract:
BACKGROUND:To prevent hepatic failure after major hepatectomy, it is important to assess preoperative factors related to liver failure. METHODS:We examined 80 patients who underwent right-sided hepatectomy. Hyperbilirubinemia, uncontrolled ascites, and prolonged postoperative hospital stay were defined as liver failure after hepatectomy, and these 3 factors were evaluated in relation to clinicopathological and surgical factors. RESULTS:In the 80 patients, hyperbilirubinemia was observed in 10 (12.7%) patients, uncontrolled ascites in 18 (22.5%) patients, and prolonged hospital stay after surgery in 39 (48.8%) patients. Multivariate analyses identified platelet count as a risk factor of hyperbilirubinemia, uncontrolled ascites, and prolonged postoperative hospital stay, and the ratio of remnant liver volume to body surface area (RLV/BSA ratio) as an additional risk factor of hyperbilirubinemia and prolonged postoperative hospital stay. CONCLUSIONS:Platelet count and RLV/BSA ratio are useful risk factors for prediction of liver failure after right-sided hepatectomy.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Hirashita T,Ohta M,Iwashita Y,Iwaki K,Uchida H,Yada K,Matsumoto T,Kitano Sdoi
10.1016/j.amjsurg.2012.12.013subject
Has Abstractpub_date
2013-09-01 00:00:00pages
374-9issue
3eissn
0002-9610issn
1879-1883pii
S0002-9610(13)00309-7journal_volume
206pub_type
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