HEPATOBILIARY SCINTIGRAPHY FOR RISK ASSESSMENT OF POSTHEPATECTOMY LIVER FAILURE

Autor: S. G. Khomeriki, B. S. Nikitin, L. V. Bondar, Yu. V. Kulezneva, N. S. Starostina, O. V. Melekhina, Mikhail Efanov, Victor Tsvirkun, P. Kim, E. V. Vinnitskaya, Ruslan Alikhanov
Rok vydání: 2017
Předmět:
Zdroj: Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 22:14-18
ISSN: 2408-9524
1995-5464
Popis: Aim: to assess the role of hepatobiliary scintigraphy for prognosis of hepatic failure after liver resection; to determine threshold index of hepatic uptake of radioactive agent as an indication for surgical prevention of hepatic failure. Material and Methods. The study included 2 groups of patients who underwent hepatobiliary scintigraphy. The 1st group consisted of 50 patients with diffuse liver diseases (chronic hepatitis, liver cirrhosis) in whom histological examination of liver was performed according to METAVIR. 49 patients with liver tumors underwent advanced liver resections (over segments by Couinaud). Results. The highest median of hepatic uptake (2,86) was revealed in patients with liver fibrosis F1, the lowest (2,02) – in patients with liver fibrosis F4. Threshold value of hepatic uptake was 2,4. In 18 patients with hepatic uptake index
Databáze: OpenAIRE