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The aim of this study was to clarify the role of \"Tc Galactosyl sialyl albumin (GSA) scintigram in the decision of the resection range. Methodology: One hundred and eighty patients who underwent liver resection were included in this study. The patients were divided according to ICGR15 value as follows; Group 1 (n=100): ICG R15 \u003c15%, Group 2 (n=32): ICGR15 15-20%, Group 3 (n=32): ICGR15 20-25% and Group 4 (n=8): 1CGR15 \u003e25%. Each group was divided into two subgroups by their GSA-LHL 0.9 levels and compared with regards to liver function, portal pressure and HAI score of background liver. The frequency of complications was also compared to previous cases without GSA-LHL estimation (n=64). Results: In Groups 2 and 3, the GSA-LHL \u003e0.9 subgroup showed better platelet counts, portal pressure and lower HAI score. 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99mTc-Galactosyl Syalil Albumin (GSA) Scintigram Adjusts Hepatic Resection Range in ICG Based Estimation
http://hdl.handle.net/10069/28820
http://hdl.handle.net/10069/288208f82ed86-a7b3-4aa3-b7e9-959da80983b3
名前 / ファイル | ライセンス | アクション |
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HepGas58_2058.pdf (207.8 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-01-13 | |||||
タイトル | ||||||
タイトル | 99mTc-Galactosyl Syalil Albumin (GSA) Scintigram Adjusts Hepatic Resection Range in ICG Based Estimation | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Damaged liver | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | GSA scintigram | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | LHL15 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Liver resection range | |||||
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 |
Yukio, Kamohara
× Yukio, Kamohara× Takatsuki, Mitsuhisa× Hidaka, Masaaki× Soyama, Akihiko× Kanematsu, Takashi× Eguchi, Susumu |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background/Aims: Indocyanin Green (ICG)-based diagnosis is widely accepted in determination of hepatic resection range, however, we frequently encounter scattered results of preoperative assessment. The aim of this study was to clarify the role of "Tc Galactosyl sialyl albumin (GSA) scintigram in the decision of the resection range. Methodology: One hundred and eighty patients who underwent liver resection were included in this study. The patients were divided according to ICGR15 value as follows; Group 1 (n=100): ICG R15 <15%, Group 2 (n=32): ICGR15 15-20%, Group 3 (n=32): ICGR15 20-25% and Group 4 (n=8): 1CGR15 >25%. Each group was divided into two subgroups by their GSA-LHL 0.9 levels and compared with regards to liver function, portal pressure and HAI score of background liver. The frequency of complications was also compared to previous cases without GSA-LHL estimation (n=64). Results: In Groups 2 and 3, the GSA-LHL >0.9 subgroup showed better platelet counts, portal pressure and lower HAI score. In groups of GSA-LHL>0.9, platelet counts showed higher value between below 20% of ICGR15 and above that, while GSA-LHL<0.9 showed no difference in groups exceeding 15% of ICGR15. Overall complications occurred less in GSA-LHL>0.9 compared to previous cases without GSA-LHL estimation. Conclusions: Levels of GSA-LHL reflects severity of portal hypertension in moderately damaged liver preoperatively and could contribute to the decision of the range of resection with low morbidity. | |||||
書誌情報 |
Hepatogastroenterology 巻 58, 号 112, p. 2058-2061, 発行日 2012-01-12 |
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出版者 | ||||||
出版者 | H.G.E. Update Medical Publishing Ltd. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 01726390 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.5754/hge11211 | |||||
権利 | ||||||
権利情報 | © H.G.E. Update Medical Publishing S.A. | |||||
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 | Hepatogastroenterology, 58(112), pp.2058-2061; 2012 |