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- W2044903586 abstract "<i>Background/Aims:</i> Liver failure after right hepatectomy for hepatocellular carcinoma (HCC) in patients with an indocyanine green retention rate at 15 min (ICGR<sub>15</sub>) of 10% or higher remains a controversial issue. <i>Methods:</i> Between 1995 and 2004, 98 patients with an ICGR<sub>15</sub> of 10% or higher were scheduled to undergo right hepatectomy or tri-sectionectomy for HCC. The hepatic resection volume (HR) excluding the tumor was measured using computed tomography. The allowable HR (AHR) was determined in each patient with a logarithmic graph based on the ICGR<sub>15</sub> and the %HR. Liver failure and mortality were evaluated between 54 patients with HR ≤ AHR (low-risk group) and 44 patients with HR > AHR (high-risk group). <i>Results:</i> The number of patients with liver failure was significantly lower in the low-risk group (2%) than in the high-risk group (23%, p = 0.0021). No mortality was observed in the low-risk group, while mortality was seen in the high-risk group (11%, p = 0.016). Multivariate analysis showed that the high-risk group was identified as a significant predictor of liver failure (p = 0.011). <i>Conclusions:</i> In patients with an ICGR<sub>15</sub> of 10% or higher, determination of AHR is useful to predict liver failure prior to right hepatectomy or tri-sectionectomy." @default.
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- W2044903586 date "2009-01-01" @default.
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- W2044903586 title "Right Hepatectomy for Hepatocellular Carcinoma in Patients with an Indocyanine Green Retention Rate at 15 Minutes of 10% or Higher" @default.
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- W2044903586 doi "https://doi.org/10.1159/000206151" @default.
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