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A Predictive Formula for Portal Venous Pressure Prior to Liver Resection Using Directly Measured Values
http://hdl.handle.net/10069/39065
http://hdl.handle.net/10069/39065805730a4-3ce1-41b9-93da-b9e58e39e394
名前 / ファイル | ライセンス | アクション |
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JIS_Hidaka2018.pdf (449.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2019-06-01 | |||||
タイトル | ||||||
タイトル | A Predictive Formula for Portal Venous Pressure Prior to Liver Resection Using Directly Measured Values | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | portal venous pressure | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | formula | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | hepatocellular carcinoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | resection | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | prediction | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Hidaka, Masaaki
× Hidaka, Masaaki× Eguchi, Susumu× Hara, Takanobu× Soyama, Akihiko× Okada, Satomi× Hamada, Takashi× Ono, Shinichiro× Adachi, Tomohiko× Kanetaka, Kengo× Takatsuki, Mitsuhisa |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose: Despite refinements in surgical techniques for liver resection, evaluation of hepatic reserve disparity remains one of the most common problems in liver surgery, especially for hepatic malignancies such as hepatocellular carcinoma (HCC). Portal venous pressure (PVP) is regarded one of the important factors in selecting treatment strategy, although its measurement can be invasive and complex. Methods: To establish a formula for calculating PVP preoperatively, intraoperative directly measured PVP was used in 177 patients with preoperative factors and liver function tests such as age, sex, virus status, platelet count, prothrombin time, albumin, total bilirubin, alanine aminotransferase (ALT), Child?Pugh grade, liver damage defined by the Liver Cancer Study Group of Japan, indocyanine green retention rate at 15 min (ICG-R15), and the aspartate transaminase (AST)-platelet ratio index (APRI). Results: Although 90% of the patients were classified as Child-Pugh A, median direct PVP was 16.5 cm H2O (5.5?37.0) and the percentage of PVP greater than 20 cm H2O was 27.1%, reflecting portal hypertension due to liver damage. After multiple regression analysis, the formula PVP (cmH2O) = EXP[2.606 + 0.01 × (ICG-R15) + 0.015 × APRI] was established from the measured data. Conclusion: Considering its simplicity of use, we have adopted this formula for predicting PVP in determining treatment strategy for HCC and other hepatic malignancies. | |||||
書誌情報 |
Journal of Investigative Surgery 発行日 2018-06-01 |
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出版者 | ||||||
出版者 | Taylor & Francis | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 08941939 | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 15210553 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1080/08941939.2018.1476631 | |||||
権利 | ||||||
権利情報 | c 2018 Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Investigative Surgery on 2018-06-01, available online: http://www.tandfonline.com/10.1080/08941939.2018.1476631 | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Journal of Investigative Surgery, Article in Press |