scholarly journals Intraoperative simulation of remnant liver function during anatomic liver resection with indocyanine green clearance (LiMON) measurements

HPB ◽  
2015 ◽  
Vol 17 (6) ◽  
pp. 471-476 ◽  
Author(s):  
Michael N. Thomas ◽  
Ernst Weninger ◽  
Martin Angele ◽  
Florian Bösch ◽  
Sebastian Pratschke ◽  
...  
Keyword(s):  
Liver Resection ◽  
Liver Function ◽  
Indocyanine Green ◽  
Remnant Liver ◽  
Indocyanine Green Clearance ◽  
Remnant Liver Function

scholarly journals Assessment of Future Remnant Liver Function Using Hepatobiliary Scintigraphy in Patients Undergoing Major Liver Resection

2009 ◽  
Vol 14 (2) ◽  
pp. 369-378 ◽  
Author(s):  
Wilmar de Graaf ◽  
Krijn P. van Lienden ◽  
Sander Dinant ◽  
Joris J. T. H. Roelofs ◽  
Olivier R. C. Busch ◽  
...  
Keyword(s):  
Liver Resection ◽  
Liver Function ◽  
Hepatobiliary Scintigraphy ◽  
Remnant Liver ◽  
Future Remnant Liver ◽  
Major Liver Resection ◽  
Remnant Liver Function

scholarly journals Right hepatectomy with preservation of the entire caudate lobe in patients with metastatic liver tumors: a case of a new hepatectomy technique and treatment strategy for patients with marginal liver function

BMC Surgery ◽  
2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Hiroyuki Kato ◽  
Yukio Asano ◽  
Masahiro Ito ◽  
Satoshi Arakawa ◽  
Norihiko Kawabe ◽  
...  
Keyword(s):  
Liver Function ◽  
Portal Vein ◽  
Indocyanine Green ◽  
Liver Volume ◽  
Caudate Lobe ◽  
Remnant Liver ◽  
Right Hepatectomy ◽  
Indocyanine Green Clearance ◽  
The Right ◽  
Metastatic Liver

Abstract Background Performing major hepatectomy for patients with marginal hepatic function is challenging. In some cases, the procedure is contraindicated owing to the threat of postoperative liver failure. In this case report, we present the first case of marginal liver function (indocyanine green clearance retention rate at 15 min [ICGR15]: 28%) successfully treated with right hepatectomy, resulting in total caudate lobe preservation. Case presentation A 71-year-old man was diagnosed with sigmoid colon cancer with three liver metastases (S5, S7, and S8). All of metastatic lesions shrunk after chemotherapy, but his ICGR15 and indocyanine green clearance rate (ICGK) were 21% and 0.12, respectively. Moreover, the remnant liver volume was only 39%. Therefore, portal venous embolism (PVE) of the right portal vein was suggested. Portography showed divergence of the considerably preserved right caudate lobe branch (PV1R) from the root of the right portal vein. The liver function was reevaluated 18 days after PVE was suggested. During this time, the ICGR15 (21–28%) and ICGK rate (0.12–0.10) deteriorated. The right caudate lobe was significantly enlarged; thus, a total caudate lobe-preserving hepatectomy (TCPRx) was performed. Patients eligible for TCPRx included those with (1) hepatocellular carcinoma or metastatic liver cancer, (2) no tumor in the caudate lobe, (3) marginal liver function (ICG Krem greater than 0.05 if TCPRx was adapted; otherwise, less than 0.05) and Child–Pugh classification category A, and (4) preserved PV1R and right caudate bile duct branch. The procedure was performed through (A) precise estimation of the remnant liver volume preoperatively, (B) repeated intraoperative cholangiography to confirm the biliary branch of the right caudate lobe (B1R) conservation, and (C) stapler division of posterior and anterior Glisson’s pedicles laterally to avoid injuries to the PV1R and B1R. Conclusions Right hepatectomy with total caudate lobe preservation, following PVE, was a safe and viable surgical technique for patients with marginal liver function.

Predictive Value of Intraoperative Indocyanine Green Clearance Measurement on Postoperative Liver Function After Anatomic Major Liver Resection

2019 ◽  
Vol 24 (6) ◽  
pp. 1342-1351 ◽  
Author(s):  
Longrong Wang ◽  
Li Xie ◽  
Ning Zhang ◽  
Weiping Zhu ◽  
Jiamin Zhou ◽  
...  
Keyword(s):  
Liver Resection ◽  
Liver Function ◽  
Indocyanine Green ◽  
Predictive Value ◽  
Major Liver Resection ◽  
Indocyanine Green Clearance

scholarly journals Hepatobiliary scintigraphy in the preoperative assessment of the future remnant liver function (literature review and own examples)

2020 ◽  
Vol 7 (1) ◽  
pp. 62-69
Author(s):  
Yu. N. Likar ◽  
D. G. Akhaladze ◽  
A. G. Rumyantsev
Keyword(s):  
Liver Resection ◽  
Liver Function ◽  
Liver Tumors ◽  
Combined Treatment ◽  
Preoperative Assessment ◽  
Hepatobiliary Scintigraphy ◽  
Remnant Liver ◽  
Future Remnant Liver ◽  
The Future ◽  
Remnant Liver Function

Liver resection remains one of the most important option in combined treatment for liver tumors; however, it harbors the risk of developing posthepatectomy liver failure. The principal risk is associated with the quality and quantity of the future remnant liver. Therefore, preoperative assessment of the future remnant liver is essential in patients scheduled for major hepatectomy. Technetium-99m-mebrofenin hepatobiliary scintigraphy is increasingly applied for the quantitative assessment of liver function before major liver resection.

scholarly journals Accurate calculation of future remnant liver function by volume/function analysis before liver resection

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e13
Author(s):  
M. Stockmann ◽  
M. Malinowski ◽  
M. Jara ◽  
J. Bednarsch ◽  
A. Kirchstein ◽  
...  
Keyword(s):  
Liver Resection ◽  
Liver Function ◽  
Function Analysis ◽  
Remnant Liver ◽  
Future Remnant Liver ◽  
Accurate Calculation ◽  
Volume Function ◽  
Remnant Liver Function

Assessment of preoperative liver function based on indocyanine green clearance

Hepatology ◽  
2017 ◽  
Vol 66 (2) ◽  
pp. 675-676 ◽  
Author(s):  
Takashi Kokudo ◽  
Kiyoshi Hasegawa ◽  
Norihiro Kokudo
Keyword(s):  
Liver Function ◽  
Indocyanine Green ◽  
Indocyanine Green Clearance ◽  
Preoperative Liver Function

scholarly journals Interstage assessment of remnant liver function in ALPPS using hepatobiliary scintigraphy: prediction of posthepatectomy liver failure and introduction of the HIBA index

HPB ◽  
2017 ◽  
Vol 19 ◽  
pp. S83
Author(s):  
M. Serenari ◽  
C. Collaud ◽  
F. Alvarez ◽  
M. De Santibañes ◽  
D. Giunta ◽  
...  
Keyword(s):  
Liver Function ◽  
Liver Failure ◽  
Hepatobiliary Scintigraphy ◽  
Remnant Liver ◽  
Posthepatectomy Liver Failure ◽  
Remnant Liver Function

scholarly journals Estimated remnant liver function prior to hepatectomy for CR metastasis is a better predictor of post-hepatectomy liver failure than APRI score.

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S988
Author(s):  
T. Chapelle ◽  
G. Roeyen ◽  
B. Op de Beeck ◽  
B. Bracke ◽  
V. Hartman ◽  
...  
Keyword(s):  
Liver Function ◽  
Liver Failure ◽  
Remnant Liver ◽  
Apri Score ◽  
Remnant Liver Function
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