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首页> 外文期刊>Journal of hepato-biliary-pancreatic surgery >Assessment of hepatic reserve for the indication of hepatic resection: how I do it.
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Assessment of hepatic reserve for the indication of hepatic resection: how I do it.

机译：评估肝储备以指示肝切除的方法：我该怎么做。

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This author has personally carried out in excess of 700 major hepatic resections for tumor, and runs a unit with a current resection rate of 200 per year, yet uses no scientific tests designed to judge hepatic reserve. In our unit, we have an advantage in that we deal with a northern European population, with a low rate of viral hepatitis, although alcoholism is becoming an increasing feature within our practice and we are dealing with more elderly patients that in the past, and more who have undergone neoadjuvant chemotherapy. In these patients, there appear to be greater risks of postoperative sepsis and slower regeneration. Approximately 65% of our current resection practice is hemihepatectomy or more and the majority is trisectionectomy (extended hepatectomy) and bilateral resection work. Preoperative, operative, and postoperative factors affect the occurrence of postoperative hepatic failure and these aspects are considered. Case series studies are presented to illustrate the incidence of significant hepatic failure we have encountered.
机译：这位作者亲自进行了700多次针对肿瘤的大肝切除术，并以目前每年200例的切除率运行一个单元，但未使用旨在判断肝储备的科学测试。在我们的部门中，我们的优势在于我们可以应对北欧人群，病毒性肝炎的发生率很低，尽管酗酒正在成为我们实践中的一种越来越多的特征，并且与过去相比，我们正在与更多的老年患者进行交流，并且接受过新辅助化疗的人更多。在这些患者中，出现败血症和再生较慢的风险似乎更大。目前，我们大约有65％的切除术是半肝切除术或更多，大部分是三部分切除术（扩展肝切除术）和双侧切除术。术前，术中和术后因素影响术后肝功能衰竭的发生，并考虑这些方面。案例研究表明了我们所遇到的重大肝功能衰竭的发生率。

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