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- W2998061715 abstract "Background: To improve the results of treatment the patients with malignant liver lesions by determining the functioning future liver remnant(FLR) prior to an extensive liver resection(ELR). Methods: Since 08/07 to 09/12 the ELR (3 or more segments) were performed under the condition that the amount of FLR is determined by MSCT was more than 30% in the absence of cirrhosis and more than 40% if available. If FLR was less a two-step treatment had been used (portal vein embolisation (PVE), followed by resection). These patients were included in the 1 study group.Since 09/12 the ELR were carried out under the condition that the volume functioning FLR,defined in SPECT/CT was more than 30% (without cirrhosis), or more than 40% (in case of cirrhosis). If the functional FLR was less these values, a two-step treatment had been used. These patients were included in the 2 study group. Results: In the 1 group of patients(n = 69) 15/69 patients underwent the two-stage treatment. In 54/69 patients the ELR was performed without PVE. Acute post-resection liver failure (LF) was in 13/69 patients. Postoperative mortality rate was 7.24%(5/69) patients. The 2 group included 31 patients. Two-stage treatment was performed for 11/31 patients, for 20/31 patients the ELR was performed without PVE. Acute post-resection LF was at 1/31 patients(P=0,049). There was not the postoperative mortality in the 2 group(P=0,32). Conclusion: SPECT/CT allows to identify patients at high risk for acute post-resection liver failure, to carry out its prevention." @default.
- W2998061715 created "2020-01-10" @default.
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- W2998061715 date "2019-01-01" @default.
- W2998061715 modified "2023-10-18" @default.
- W2998061715 title "The choice of surgical treatment of malignant liver lesions, depending on the functional state future liver remnant" @default.
- W2998061715 doi "https://doi.org/10.1016/j.hpb.2019.10.1062" @default.
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