Treatment strategy for successful hepatic resection of icteric liver

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<p>Background:The treatment strategy for jaundiced patients with hilar cholangiocarcinoma (HC) is not well established. In this study, we evaluate the feasibility of our perioperative protocol for jaundiced patients with HC. Methods:Twenty patients with HC who underwent hepatic resection at our institute were enrolled, and patients were divided into icteric(n=6) and normal(n=14) group. As a perioperative protocol, Oral administration of Inchinkoto(ICKT), steroid and nafamostat mesilate were introduced. The evaluation of functional future remnant liver(FRL) by asiaroscintigraphy, and postoperative outcomes were retrospectively compared. Results:Indocyanine green dye retention rate at 15 minutes was higher, and LHL15 values was lower in icteric group. However, in the functional evaluation of FRL, which was the sum of GSA uptake of the future FRL, there was no significant difference of LHL15 values of the remnant liver functional reserve between the two groups. As results, according to the difference of liver function, serum AST level was not different between two groups. The number of patients with postoperative morbidity in the two groups was comparable. Conclusions:Even in HC patients with icteric liver, accurate assessment of liver functional reserve and effective perioperative treatment may attribute to successful hepatectomy and favorable post‐operative outcomes. J. Med. Invest. 65:37‐42, February, 2018</p>

収録刊行物

  • The Journal of Medical Investigation

    The Journal of Medical Investigation 65(1.2), 37-42, 2018

    国立大学法人 徳島大学医学部

各種コード

  • NII論文ID(NAID)
    130006575599
  • NII書誌ID(NCID)
    AA11166929
  • 本文言語コード
    ENG
  • 資料種別
    journal article
  • ISSN
    1343-1420
  • データ提供元
    IR  J-STAGE 
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