Matches in SemOpenAlex for { <https://semopenalex.org/work/W2895065986> ?p ?o ?g. }
Showing items 1 to 78 of
78
with 100 items per page.
- W2895065986 endingPage "S490" @default.
- W2895065986 startingPage "S490" @default.
- W2895065986 abstract "Introduction: Preoperative assessment of future remnant liver (FRL) function is critical for major hepatectomy to avoid postoperative liver failure (PLF).Indocyanine green clearance of the FRL (Krem), which is calculated as the ratio of FRL volume to total liver volume by CT, is reliable index for estimating PLF and its threshold is 0.05. However, Krem assumes homogenous uptake throughout the liver.For damaged livers with functional heterogeneity, fusion images combining 99mTc-GSA SPECT and 3D-CT are helpful to estimate the functional reserve of the FRL. Our aim was to determine the utility of functional Krem (F-Krem) by comparing volumetric Krem (V-Krem). Methods: Between July 2015 to December 2017, 45 patients received preoperative dynamic CT and 99mTc-GSA SPECT and underwent major hepatectomy. We constructed fusion image of 3D-CT and 99mTc-GSA SPECT. V-Krem by CT volumetry and F-Krem by fusion image were compared in each patient to estimate which is more reliable. Results: In 88.9% of the patients, F-Krem was bigger than V-Krem (Figure). The ratio of F-Krem/V-Krem (F/V) was 1.116±0.12 (mean±SD). In the patients with portal vein occlusion (PVO) or large tumor (LT) of 500ml or more, F/V ratio was significantly bigger than that of the other patients: 1.181±0.082 (n=8, PVO)vs.1.097±0.118 (n=37, non-PVO), 1.306±0.174 (n=4,LT)vs.1.11±0.097 (n=41, non-LT), (p=0.01, respectively). There were significantly correlation between F-Krem and postoperative-parameters (T-Bil and platelets counts in POD1,3,7). In 5 patients with V-Krem less than 0.05,a patient had F-Krem more than 0.05, resulting in good post-operative course. Conclusion: In almost patients who need major hepatectomy, F-Krem is bigger than V-Krem, because liver function of the diseased side is impaired compared with residual side. F-Krem is a more reliable index than V-Krem." @default.
- W2895065986 created "2018-10-12" @default.
- W2895065986 creator A5008325877 @default.
- W2895065986 creator A5012415507 @default.
- W2895065986 creator A5015214616 @default.
- W2895065986 creator A5045237664 @default.
- W2895065986 creator A5048705484 @default.
- W2895065986 creator A5054973025 @default.
- W2895065986 creator A5060592514 @default.
- W2895065986 creator A5061737621 @default.
- W2895065986 creator A5067861967 @default.
- W2895065986 creator A5068397684 @default.
- W2895065986 date "2018-09-01" @default.
- W2895065986 modified "2023-09-28" @default.
- W2895065986 title "The assessment of functional remnant liver rate for the hepatectomy based on the fusion image of 3DCT and 99mTc-GSA SPECT" @default.
- W2895065986 doi "https://doi.org/10.1016/j.hpb.2018.06.2965" @default.
- W2895065986 hasPublicationYear "2018" @default.
- W2895065986 type Work @default.
- W2895065986 sameAs 2895065986 @default.
- W2895065986 citedByCount "0" @default.
- W2895065986 crossrefType "journal-article" @default.
- W2895065986 hasAuthorship W2895065986A5008325877 @default.
- W2895065986 hasAuthorship W2895065986A5012415507 @default.
- W2895065986 hasAuthorship W2895065986A5015214616 @default.
- W2895065986 hasAuthorship W2895065986A5045237664 @default.
- W2895065986 hasAuthorship W2895065986A5048705484 @default.
- W2895065986 hasAuthorship W2895065986A5054973025 @default.
- W2895065986 hasAuthorship W2895065986A5060592514 @default.
- W2895065986 hasAuthorship W2895065986A5061737621 @default.
- W2895065986 hasAuthorship W2895065986A5067861967 @default.
- W2895065986 hasAuthorship W2895065986A5068397684 @default.
- W2895065986 hasBestOaLocation W28950659861 @default.
- W2895065986 hasConcept C126322002 @default.
- W2895065986 hasConcept C126838900 @default.
- W2895065986 hasConcept C138885662 @default.
- W2895065986 hasConcept C141071460 @default.
- W2895065986 hasConcept C158525013 @default.
- W2895065986 hasConcept C159110652 @default.
- W2895065986 hasConcept C2776909242 @default.
- W2895065986 hasConcept C2781065829 @default.
- W2895065986 hasConcept C2989005 @default.
- W2895065986 hasConcept C2992208098 @default.
- W2895065986 hasConcept C41895202 @default.
- W2895065986 hasConcept C69744172 @default.
- W2895065986 hasConcept C71924100 @default.
- W2895065986 hasConceptScore W2895065986C126322002 @default.
- W2895065986 hasConceptScore W2895065986C126838900 @default.
- W2895065986 hasConceptScore W2895065986C138885662 @default.
- W2895065986 hasConceptScore W2895065986C141071460 @default.
- W2895065986 hasConceptScore W2895065986C158525013 @default.
- W2895065986 hasConceptScore W2895065986C159110652 @default.
- W2895065986 hasConceptScore W2895065986C2776909242 @default.
- W2895065986 hasConceptScore W2895065986C2781065829 @default.
- W2895065986 hasConceptScore W2895065986C2989005 @default.
- W2895065986 hasConceptScore W2895065986C2992208098 @default.
- W2895065986 hasConceptScore W2895065986C41895202 @default.
- W2895065986 hasConceptScore W2895065986C69744172 @default.
- W2895065986 hasConceptScore W2895065986C71924100 @default.
- W2895065986 hasLocation W28950659861 @default.
- W2895065986 hasOpenAccess W2895065986 @default.
- W2895065986 hasPrimaryLocation W28950659861 @default.
- W2895065986 hasRelatedWork W1764996541 @default.
- W2895065986 hasRelatedWork W1969748827 @default.
- W2895065986 hasRelatedWork W1994790814 @default.
- W2895065986 hasRelatedWork W1996155997 @default.
- W2895065986 hasRelatedWork W2015669155 @default.
- W2895065986 hasRelatedWork W2066012353 @default.
- W2895065986 hasRelatedWork W2078689554 @default.
- W2895065986 hasRelatedWork W2473003001 @default.
- W2895065986 hasRelatedWork W3030480279 @default.
- W2895065986 hasRelatedWork W3195075841 @default.
- W2895065986 hasVolume "20" @default.
- W2895065986 isParatext "false" @default.
- W2895065986 isRetracted "false" @default.
- W2895065986 magId "2895065986" @default.
- W2895065986 workType "article" @default.