J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3301KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(12): 1710-1717, 1987

Original article

PREOPERATIVE ASSESSMENT OF RISK FOR GASTROENTEROLOGICAL
OPERATIONS IN PATIENTS WITH HEPATIC CIRRHOSIS

First Surgical Department, The University of Tokyo, Tokyo, Japan
*) Department of Surgery, Tokyo National Sanatorium Hospital, Tokyo, Japan
**) Department of Surgery, Tokyo Kosei Nenkin Hospital, Tokyo, Japan
***) Department of Surgery, National Medical Center, Tokyo, Japan

Ikuo Nagashima, Takeshi Nagano, Nobuhiro Kawano, Yasuhiko Morioka, Hideaki Saito*), Takashi Yamamoto**), Akira Asano***)

In order to devise an easy and available method to assess the surgical risk of cirrhotic patients, we reviewed 52 cirrhotic patients who underwent gastroenterological operations at Tokyo Kosei Nenkin Hospital between 1968 and 1982, by means of multivariant disciminant analysis. Utilizing presence of ascites, serum albumin, ICG R15, prothrombin time and platelet count, we estimated the surgical risk as Risk Score. Futhermore, our method predicted short-term survival of other 150 cirrhotic patients who underwent gastroenterological operations at the First Surgical Department The University of Tokyo between 1968 and 1985. We conclude that our method is easily available, and that cirrhotic patients with Risk Score≦2.5 tolerate all the gastroenterological operations except hepatic major resection, and that those with Risk Score of residual liver≦2.5 tolerate well hepatic major resection.

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