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[Surgical risks for patients with hepatolithiasis undergoing hepatectomy]
Yong Xu1, Zuhai Ren, Shaihong Zhu
1Department of General Surgery, Third Xiangya Hospital, Central South University, Changsha, China.
Insights
The indocyanine green (ICG) retention test is more effective than Child-Pugh scoring for assessing liver function before hepatectomy in primary hepatolithiasis patients. This improves prediction of liver failure and reduces complications.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Primary hepatolithiasis poses significant risks during hepatectomy.
- Accurate preoperative assessment of liver functional reserve is crucial for patient outcomes.
Purpose of the Study:
- To compare the efficacy of the indocyanine green (ICG) retention test versus the Child-Pugh (CP) scoring system in evaluating liver functional reserve.
- To determine the predictive value of these methods for postoperative complications in patients undergoing hepatectomy for primary hepatolithiasis.
Main Methods:
- Retrospective review of 134 patients with primary hepatolithiasis who underwent hepatectomy.
- Patients were divided into two groups based on preoperative liver functional reserve assessment: Child-Pugh (CP) and indocyanine green (ICG) retention test.
- Analysis of preoperative, intraoperative parameters, and postoperative complication rates.
Main Results:
- The indocyanine green (ICG) group exhibited a significantly lower incidence of postoperative liver failure (1.56%) compared to the Child-Pugh (CP) group (12.85%).
- Overall postoperative complication rates were significantly lower in the ICG group (18.75%) than in the CP group (37.14%).
Conclusions:
- The indocyanine green (ICG) 15-minute retention test is a more accurate method for evaluating liver functional reserve than the Child-Pugh scoring system.
- ICG retention test can effectively predict postoperative liver failure, reduce complications, and enhance surgical safety in primary hepatolithiasis patients undergoing hepatectomy.
Objective:
To evaluate the risk of hepatectomy by detecting liver functional reserve preoperatively for patients with primary hepatolithiasis.
Methods:
The clinical data of 134 patients with primary hepatolithiasis who underwent hepatectomy were reviewed. In terms of evaluation methods for preoperative liver functional reserve they were divided into a Child-Pugh group (group CP) and an indocyanine green group (group ICG). The preoperative and intraoperative parameters, and the incidence of postoperative complications were analyzed.
Results:
Liver failure was more common in group CP (12.85%) than that in group ICG (1.56%, P<0.05). The overall complication rate in group CP (37.14%) was higher than in group ICG (18.75%, P<0.05).
Conclusion:
ICG15 retention test is more accurate in evaluating liver functional reserve than Child-Pugh scoring system. It may predict the postoperative liver failure in patients with primary hepatolithiasis undergoing hepatectomy, decrease postoperative complications, and increase operation safety.