Assesment of the Indocyanine Green Plasma Disappearance Rate of the Future Liver Remnant in Patients with Hilar Cholangiocarcinoma for Indication of Extensive Hepatectomy

Maeda Atsuyuki, Uesaka Katsuhiko, Matsunaga Kazuya, Kanemoto Hideyuki, Bando Etsuro, Saito Shuji

doi:10.11210/tando.22.500

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Other Title

予定残肝ICG消失率 (ICG Krem) による肝門部胆管癌術前肝予備能評価

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Description

In our institution, an index; ICG Krem (multiplication of disappearance rate of indocyanine green and remnant liver volume ratio to total liver volume) has been adopted for indication of hepatectomy. In the present study, clinical usefulness and limitation of this index in patients with hilar cholangiocarcinoma was assessed retrospectively with a prospectively collected database. Forty-six consecutive patients with hilar cholangiocarcinoma were enrolled in this study, and conformity with ICG Krem and previously reported indices, morbidity, and mortality were evaluated. The conformity rate with ICG Krem was 82.6%, and those with Makuuchi's decision tree and Hyogo University index (≥50 points) were 54.3% and 45.7% respectively with lower congruity. Morbidity and mortality rates of our series were 45.7% and 2.2% (1 patient), respectively. Liver insufficiency was not observed. In 8 deviated cases (17.4%) from our index, hepatectomies were indicated after portal vein emblization of the affected lobe with special consideration to remnant liver volume (minimum, 278mL), remnant ratio (29%), remnant liver volume ratio to body weight (0.54% v/w), and status of biliary obstruction.

Journal

Tando

Tando 22 (4), 500-506, 2008

Japan Biliary Association

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Details 詳細情報について

CRID: 1390001204348766080

NII Article ID: 10030905610

NII Book ID: AN10062001

DOI: 10.11210/tando.22.500

ISSN: 18836879; 09140077

Web Site: https://search.jamas.or.jp/link/ui/2009067469

Text Lang: ja

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