Resected or Remnant Liver Volume and Standard Liver Volume Ratio in Patients with Major Hepatectomy
スポンサーリンク
概要
- 論文の詳細を見る
To clarify the relationship between resected (RSV) or remnant hepatic volume (RMV) in major hepatectomy, and standard liver volume (SLV) and its clinical significance, the RSV/SLV, RMV/SLV and the volume of regeneration (RGV)/RMV were examined in 41 patients including 19 with chronic hepatitis and 5 with obstructive jaundice who underwent lobectomy or extended lobectomy. The hepatic function was maintained in all patients. SLV was calculated by the body-surface area using Urata's formula. RGV was calculated by subtracting the RMV from the remnant liver volume at day 28 after hemi-hepatectomy. Measurement of the hepatic volume was performed by computed tomography. The means of RSV, RMV, RGV and SLV were 591 ﾂｱ 173, 459 ﾂｱ 119, 667 ﾂｱ 129 and 1128 ﾂｱ 129cm3, respectively. The means of RSV/SLV, RMV/SLV and RGV/RMV were 0.52 ﾂｱ 0.14, 0.41 ﾂｱ 0.12 and 1.54 ﾂｱ 0.47, respectively. RGV was inversely correlated with RMV/SLV (p<0.001) but not with the other parameters. RSV/SLV and RMV/SLV were not associated with long-term ascites and hepatic failure. The tendency of these results was similar in each patient with a normal liver, obstructive jaundice and chronic viral hepatitis. If the hepatic functional reserve is maintained, a liver with lower hepatic volume has potentially sufficient regeneration even in patients with an injured liver.
- 長崎大学の論文
著者
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Tsuji T
長崎大学 医学部第二内科
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Nagayasu Takeshi
長崎大学 大学院腫瘍外科
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Tashiro Takayoshi
長崎大学 第二内科
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Nagayasu Takeshi
長崎大学 医学部第二内科
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Nagayasu Takeshi
長崎大学 医歯薬学総合研究科腫瘍外科
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Yamaguchi H
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Yamaguchi Hiroyuki
長崎大学 医歯薬総研究腫瘍外科学
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Tamaru Naoe
Department Of Pathology Nagasaki University Hospital
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辻 孝
Hokkaido Univ. Sapporo Jpn
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Nagayasu Takeshi
Division Of Surgical Oncology Nagasaki University Graduate School
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Sumida Y
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Nakashima Atsushi
Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Gra
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Tsuji Takashi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Nakashima Atsushi
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Yano Hiroshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Tsuji Takashi
Department Of Material Chemistry Graduate School Of Engineering Kyoto University
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Shibasaki Shinichi
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Nanashima Atsushi
Division Of Surgical Oncology And Department Of Surgery Nagasaki University Hospital
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Ide Noboru
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Morino Shigeyuki
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Morino Shigeyuki
Division Of Surgical Oncology Nagasaki University Graduate School
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Nagayasu Takeshi
Department Of Pathology Nagasaki University Graduate School Of Biomedical Sciences
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Nakamura Akihiro
Division Of Surgical Oncology Nagasaki University Graduate School Of Biomedical Sciences
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Nagayasu Takeshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Yamaguchi Hiroyuki
First Department Of Surgery Nagasaki University School Of Medicine
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Nagayasu Takeshi
Division Of Surgical Ontology Nagasaki University Graduate School Of Biomedical Sciences
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Tsuchiya Tomoshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Yano Hiroshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Nagayasu Takeshi
長崎大学 大学院医歯薬学総合研究科腫瘍外科第1外科
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