Analyse The Relationship Between The ICGR15 And RLVR And The Complications Of Hepatectomy

ObjectiveTo analyse the relationship between the ICGR15 and RLVR and the complications of hepatectomy.Materials and methodsPatients with PHC under hepatectomy were studied in our hospital from January 2008 to November 2009. Child-Pugh evaluation, ICGR15, RLVR [the ratio of reserved liver volume, RLVR=1-(the excised liver volume-tumor volume)/(whole liver volume-tumor volume)×100%] measurements were performed preoperatively in all patients. According to the complications postoperatively, we divided the patients into group M (without complications) and group N (with complications), and analysed the relationship between ICGR15 and RLVR and the complications.ResultsThere were significant differences of ICGR15 (P=0.001) and RLVR (P＜0.001) preoperatively between the two groups. The relationship between the RLVR and complications had no statistical difference when the ICGR15≤10.0%(P=0.64). The complications of the group with RLVR≥75.75%significantly fewer than the group with RLVR＜75.75%when the ICGR15 between 10.0%to 20.0%. The RLVR had no significant relationship with complications when the ICGR15≥20%, but the prognosis was significantly unfavorable. The Child-Pugh evaluation had no significant relationship with either ICGR15 or RLVR (P＞0.05).Conclusion1. With the increase of ICGR15 and the decrease of RLVR, the occurrence of complications increases significantly. 2. Combined application of the ICGR15 and RLVR has a significance to direct the resect liver volume and predict the complications postoperatively.