Analyse The Significance Between The Liver Function Reserve And Liver Volume Of The Cirrhosis Hepatectomy

ObjectiveAnalysis of liver reserve function and liver volume and livercirrhosis of liver cancer patients produce functional changes ofpostoperativer complications of cirrhosis of liver cancer,liver surgery toprovide a reference for clinical.Information and MethodsProceeding the retrospective analysis the forty patients from2012-02to2013-12who having the hepatectomy in HepatopancreatobiliarySurgery Department of the Sino-japanese fellowship at jilin universityhospital.Conducting the Child-Pugh of the liver function grade before theoperation(according with the selection of the revised plan of the surgicaltreatment of liver cancer of the surgeon at the liver and gallbladdersurgery group in2004).Pulsating indole cyanogen green pigmentconcentration method15minutes retention rates.Adopting japan320rowhelical CT scan,liver was carried out on the data obtained from the3dreconstruction,measuring the liver volume removal rate LVRR=(resectionof liver volume－tumor volume)/(whole liver volume－tumorvolume).According to the postoperative liver function recovery wasdivided into good liver function group(A):total bilirubin <34umol/L,albumin>35g/L,prothrombin time extended <4s,withoutascites and hepatic encephalopathy.Mild liver function is not completegroup (B):34umol/L≤total bilirubin≤51umol/L,35g/L≥albumin≥28g/L,4s≤prothrombin time extended≤6s,mild ascites,1-2level of hepaticencephalopathy.The severe liver function is not complete group (C):51umol/L <total bilirubin, albumin<28g/L,6s<prothrombin timeextended,moderate or severe ascites,3-4level of hepatic encephalopathy.Depond on the hydrothorax、seroperitoneum、renal failure、liver failuredivide into have or not the complication.ResultsThere is no significant statistical significance (P＞0.05) between theLVRR and the postoperative complication when ICGR15≤15%. There issignificant statistical significance(P＜0.05),when ICGR15between15%-20%, LVRR≤30%incidence of complications significantly lessthan LVRR＞30%. There is no significant statistical significance (P＞0.05) between the LVRR and the postoperative complication whenICGR15≥20%.Ｗhen ICGR15and LVRR values increase, patients withpostoperative liver function status in bad condition,incidence rate alsoincreases.Conclusion1、When the ICGR15≤15%, patients can bear major liver resection (LVRR>30%).2、Preoperative liver volume and determination of liver reservefunction, accurate calculation of the residual liver volume canprevente postoperative complication and reduce the damage ofliver function.