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The Japanese journal of surgery

, Volume 9, Issue 2, pp 125–131 | Cite as

Remnant liver function during surgery for extensive hepatic resection

  • Naofumi Nagasue
  • Kiyoshi Inokuchi
  • Atsushi Iwaki
  • Hirofumi Yukaya
  • Ryoichi Kanashima
  • Motonori Saku
  • Michio Kobayashi
Article

Abstract

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 Words

remnant liver function hepatic resection indocyanine green (ICG) 

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Copyright information

© The Japan Surgical Society 1979

Authors and Affiliations

  • Naofumi Nagasue
    • 1
  • Kiyoshi Inokuchi
    • 1
  • Atsushi Iwaki
    • 1
  • Hirofumi Yukaya
    • 1
  • Ryoichi Kanashima
    • 1
  • Motonori Saku
    • 1
  • Michio Kobayashi
    • 1
  1. 1.Second Department of SurgeryKyushu University School of MedicineFukuokaJapan

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