J.Jpn. Surg. Soc.. 79(8): 668-670, 1978

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Report on the annual meeting

SURGICAL RISK AND OPERATIVE METHOD FOR LIVER CANCER ASSOCIATED WITH CIRRHOSIS

Relation between preoperative evaluation of surgical risk and operation-methods was studied from operative results of 22 cases with liver diseases; 13 cases of liver resection, 2 cases of portal branch ligation with hepatic artery infusion and 7 cases of hepatic artery infusion with or without hepatic artery ligation, during past one year and a half in our clinic.
As the control, 6 cases of esophageal varices and 8 cases of pancreatoduodenectomy were also investigated.
Among the routine liver function tests, serum albumin level and cholinesterase activity were useful, and K_ICG and prothrombin activity were also useful for evaluation of general surgical risk, but not for liver surgery. ICG・Rmax, hepaplastin test and OGTT were more useful except for liver resection.
On evaluation of surgical risk for hepatic resection, preoperative estimation of remnant liver function is need.
In this report, removal rate on hepatectomy was estimated preoperatively from uptake of radionuclide by on-line computer system, and remnant liver function was calculated from the removal rate and Rmax.
The remnant liver function was good correlated with operative results and it is the best indicator on evaluation of surgical risk for liver resection.

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