Remnant liver function during surgery for extensive hepatic resection
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True functional reserve of remnant liver should be determined at the same condition that contemplated hepatectomy has been performed, and this condition can be achieved before resection by temporary lamping of the inflow vessels of hepatic lobes to be removed. Using indocyanine green (ICG), the remnant liver function (RLF) was evaluated whether or not the method can be a useful indicator for or against hepatomy. In the study of healthy dogs, the RLF proved to be a reliable indicator to prospect hepatic failure which may occur after extensive resection of the liver. Then, the method was employed in nine patients who underwent 40 to 70 per cent hepatectomy. The results indicated that the RLF with ICG during surgery, if performed under stable hemodynamics, is a beneficial tool to decide the resectability in equivocal cases.
Key Wordsremnant liver function hepatic resection indocyanine green (ICG)
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- 5.Lin, T. Y.: Personal communication.Google Scholar
- 6.McDermott, W. V., Jr., Greenberger, N. J., Isselbacher, K. J., and Weber, A. L.: Major hepatic resection; diagnostic techniques and metabolic problems,Surgery 54: 56–66, 1963.Google Scholar
- 10.Ozawa, K., Yamaoka, Y., Kitamura, O., Nambu, H., Kamiyama, Y., Takeda, O., Takasan, H. and Honjo, I.: Clinical application of cytochrome a (+a3) assay of mitochondria from liver specimens: An aid in determining metabolic tolerance of liver ramnant for hepatic resection,Ann. Surg. 180: 868–876, 1974.PubMedCrossRefGoogle Scholar
- 12.Sigel, B.: Partial hepatectomy in the dog,Arch. Surg. 80: 100–103, 1963.Google Scholar