HPB Surgery

HPB Surgery / 1997 / Article

Open Access

Volume 10 |Article ID 034842 | https://doi.org/10.1155/1997/34842

K. Yanaga, H. Honda, Y. Ikeda, A. T. Nishizaki, K. Yamamoto, K. Sugimachi, "Significance of Liver Size in Hepatic Surgery", HPB Surgery, vol. 10, Article ID 034842, 6 pages, 1997. https://doi.org/10.1155/1997/34842

Significance of Liver Size in Hepatic Surgery

Received05 Jan 1996

Abstract

The purpose of this study was to evaluate the significance of liver volumetry as a parameter for hepatic functional reserve in cirrhotic patients with hepatocellular carcinoma. Liver volume was calculated from preoperative computed tomograms of 44 cirrhotic patients who underwent elective hepatic resections for hepatocellular carcinoma.The liver volume per body weight of non-alcoholic cirrhotics was significantly smaller than that of alcoholic cirrhotics (20.9 vs. 26.7 cc/kg; p=0.03). The values for alcoholic cirrhotics was comparable with normal values. The liver volume per body weight of the cirrhotic patients demonstrated correlation with the preoperative serum albumin (p<0.01) and indocyanine green clearance (p=0.02). We conclude that the determination of hepatic atrophy by volume try can serve as a parameter for the assessment of hepatic reserve but not as a predictor of postoperative complications in elective liver surgery for cirrhotic patients.

Copyright © 1997 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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