Predicting hepatic failure with a new diagnostic technique by preoperative liver scintigraphy and computed tomography: A pilot study in 123 patients undergoing liver resection

Naokazu Chiba, Motohide Shimazu, Kiminori Takano, Go Oshima, Koichi Tomita, Toru Sano, Masaaki Okihara, Yosuke Ozawa, Kosuke Hikita, Takahiro Gunji, Yuta Abe, Kiyoshi Koizumi, Shigeyuki Kawachi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: A novel index, total liver LU15, has been identified as a surrogate marker for liver function. We evaluated the ability of preoperative remnant liver LU15 values to predict postoperative hepatic failure. Methods: Preoperative risk factors for postoperative hepatic failure and remnant liver LU15 were evaluated in 123 patients undergoing liver resection for several diseases from September 1st, 2007 to December 1st, 2016. We calculated the remnant liver LU15 value from the total liver LU15 value and the functional remnant liver ratio. Risk factors for postoperative hepatic failure was determined by univariate and multivariate analysis. Results: Hepatic failure grade B/C developed postoperatively in six patients of seven patients within Makuuchi criteria / without criteria for remnant liver LU15. Operative time (p = 0.0242) and criteria for remnant liver LU15 (p = 0.0001) were prognostic factors for hepatic failure according to the univariate analysis. And criteria for remnant liver LU15 (p = 0.0009) was only prognostic factor by multivariate analysis. Conclusion: Based on the findings form this pilot study, it appears that patients with a remnant liver LU15 value of 13 or less may have a high risk of postoperative hepatic failure.

Original languageEnglish
Article number29
JournalPatient Safety in Surgery
Volume11
Issue number1
DOIs
Publication statusPublished - 2017 Dec 18

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Liver Failure
Radionuclide Imaging
Tomography
Liver
Multivariate Analysis
Operative Time
Statistical Factor Analysis
Biomarkers

Keywords

  • Tc-labelled galactosyl human serum albumin liver scintigraphy
  • Hepatic failure
  • Remnant liver LU15

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Anesthesiology and Pain Medicine

Cite this

Predicting hepatic failure with a new diagnostic technique by preoperative liver scintigraphy and computed tomography : A pilot study in 123 patients undergoing liver resection. / Chiba, Naokazu; Shimazu, Motohide; Takano, Kiminori; Oshima, Go; Tomita, Koichi; Sano, Toru; Okihara, Masaaki; Ozawa, Yosuke; Hikita, Kosuke; Gunji, Takahiro; Abe, Yuta; Koizumi, Kiyoshi; Kawachi, Shigeyuki.

In: Patient Safety in Surgery, Vol. 11, No. 1, 29, 18.12.2017.

Research output: Contribution to journalArticle

Chiba, Naokazu ; Shimazu, Motohide ; Takano, Kiminori ; Oshima, Go ; Tomita, Koichi ; Sano, Toru ; Okihara, Masaaki ; Ozawa, Yosuke ; Hikita, Kosuke ; Gunji, Takahiro ; Abe, Yuta ; Koizumi, Kiyoshi ; Kawachi, Shigeyuki. / Predicting hepatic failure with a new diagnostic technique by preoperative liver scintigraphy and computed tomography : A pilot study in 123 patients undergoing liver resection. In: Patient Safety in Surgery. 2017 ; Vol. 11, No. 1.
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AU - Chiba, Naokazu

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AU - Takano, Kiminori

AU - Oshima, Go

AU - Tomita, Koichi

AU - Sano, Toru

AU - Okihara, Masaaki

AU - Ozawa, Yosuke

AU - Hikita, Kosuke

AU - Gunji, Takahiro

AU - Abe, Yuta

AU - Koizumi, Kiyoshi

AU - Kawachi, Shigeyuki

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N2 - Background: A novel index, total liver LU15, has been identified as a surrogate marker for liver function. We evaluated the ability of preoperative remnant liver LU15 values to predict postoperative hepatic failure. Methods: Preoperative risk factors for postoperative hepatic failure and remnant liver LU15 were evaluated in 123 patients undergoing liver resection for several diseases from September 1st, 2007 to December 1st, 2016. We calculated the remnant liver LU15 value from the total liver LU15 value and the functional remnant liver ratio. Risk factors for postoperative hepatic failure was determined by univariate and multivariate analysis. Results: Hepatic failure grade B/C developed postoperatively in six patients of seven patients within Makuuchi criteria / without criteria for remnant liver LU15. Operative time (p = 0.0242) and criteria for remnant liver LU15 (p = 0.0001) were prognostic factors for hepatic failure according to the univariate analysis. And criteria for remnant liver LU15 (p = 0.0009) was only prognostic factor by multivariate analysis. Conclusion: Based on the findings form this pilot study, it appears that patients with a remnant liver LU15 value of 13 or less may have a high risk of postoperative hepatic failure.

AB - Background: A novel index, total liver LU15, has been identified as a surrogate marker for liver function. We evaluated the ability of preoperative remnant liver LU15 values to predict postoperative hepatic failure. Methods: Preoperative risk factors for postoperative hepatic failure and remnant liver LU15 were evaluated in 123 patients undergoing liver resection for several diseases from September 1st, 2007 to December 1st, 2016. We calculated the remnant liver LU15 value from the total liver LU15 value and the functional remnant liver ratio. Risk factors for postoperative hepatic failure was determined by univariate and multivariate analysis. Results: Hepatic failure grade B/C developed postoperatively in six patients of seven patients within Makuuchi criteria / without criteria for remnant liver LU15. Operative time (p = 0.0242) and criteria for remnant liver LU15 (p = 0.0001) were prognostic factors for hepatic failure according to the univariate analysis. And criteria for remnant liver LU15 (p = 0.0009) was only prognostic factor by multivariate analysis. Conclusion: Based on the findings form this pilot study, it appears that patients with a remnant liver LU15 value of 13 or less may have a high risk of postoperative hepatic failure.

KW - Tc-labelled galactosyl human serum albumin liver scintigraphy

KW - Hepatic failure

KW - Remnant liver LU15

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