New Options in Prediction of Post-Resection Liver Failure
https://doi.org/10.16931/1995-5464.2016370-74
Abstract
Aim: to develop a new predictive method for post-resection liver failure prior to surgery and in early postoperative period.
Material and Methods. Diagnostically significant risk factors for post-resection liver failure were determined based on 286 advanced liver resections. The prognostic scale was created taking into account prognostic significance of each parameter. International Study Group of Liver Surgery classification was used to assess quality of liver failure prediction.
Results. It was defined the formula for calculation of liver failure incidence after hepatic resection. The probability of various classes of liver failure was received depending on the values of calculated criterion.
Conclusion. Multi-factor modeling systems are perspective for prognosis of postoperative liver failure. Therefore curative tactics may be determined.
About the Authors
K. A. Tupikin
A.V. Vishnevsky Institute of Surgery
Russian Federation
Postgraduate Student of the Department of Abdominal Surgery
Russian Federation
Postgraduate Student of the Department of Abdominal Surgery
Yu. A. Kovalenko
A.V. Vishnevsky Institute of Surgery
Russian Federation
Cand. of Med. Sci., Senior Researcher of the Department of Abdominal Surgery
Russian Federation
Cand. of Med. Sci., Senior Researcher of the Department of Abdominal Surgery
V. A. Vishnevsky
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Head of the Department
of Abdominal Surgery
References
1. Вишневский В.А., Коваленко Ю.А., Андрейцева О.И., Икрамов Р.З., Ефанов М.Г., Назаренко Н.А., Тупикин К.А. Пострезекционная печеночная недостаточность: современные проблемы определения, эпидемиологии, патогенеза, оценки факторов риска, профилактики и лечения. Украинский журнал хирургии. 2013; 22 (3): 172–182. Vishnevsky V.A., Kovalenko Yu.A., Andreytseva O.I., Ikramov R.Z., Efanov M.G., Nazarenko N.A., Tupikin K.A. Post-resection liver failure: modern problems of definition, epidemiology, pathogenesis, risk factors assessment, prevention and treatment. Ukrainskiy zhurnal khirurgii. 2013; 22 (3): 172–182. (In Russian)
Review
For citations:
Tupikin K.A., Kovalenko Yu.A., Vishnevsky V.A. New Options in Prediction of Post-Resection Liver Failure. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(3):70-74. (In Russ.) https://doi.org/10.16931/1995-5464.2016370-74
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