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- W2894606797 abstract "Objective: To determine the indications for stage treatment when planning extensive liver resections using SPECT/CT. Material and methods: From 2007 26 patients in the surgical clinic of the Botkin Hospital had anatomical volume of FLR (aFLR) less than 30% in the planning of advanced liver resections, which is an indication of portal vein empbolisation (PVE), followed by resection (with aFLR increase to 30% or more). From 2007 to 2014 two-stage treatment was applied to 15 patients (group 1). From 2015 to 2017, preoperative examination included SPECT/CT. The indication for a two-stage treatment was the volume of functioning FLR (fFLR) of less than 30% (group 2). The second group included 11 patients. Results: In the first group (n = 15), all patients underwent PVE, 9 of them operated: extended right-sided hemihepatectomy (RPGE)-5, right-sided hemihepatectomy (PGEGE)-4. Acute postoperative liver failure (PLF) developed in 1 patient (11,1%). In the second group, the need for PVE was determined after receiving SPECT/CT data. In 5 patients, the volume of fFLR was 30% or more. These patients were: PGGE-3, RPGGE-2. In 6 patients, the volume of fFLR was less than 30%, and a two-stage method of treatment was used. Radically operated 5: PGEGE - 3, RPGGE-2. There were no signs of PHI and death in this group of patients. Conclusions: In the planning of extensive liver resections, the use of SPECT/CT can identify a group of patients with a high risk of acute PLF and carry out a set of measures for its surgical prevention." @default.
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- W2894606797 date "2018-09-01" @default.
- W2894606797 modified "2023-10-18" @default.
- W2894606797 title "Single photon emission computed tomography (SPECT) in the planning of surgical tactics in extensive resections of the liver" @default.
- W2894606797 doi "https://doi.org/10.1016/j.hpb.2018.06.2587" @default.
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