학술논문
An International Retrospective Observational Study of Liver Functional Deterioration after Repeat Liver Resection for Patients with Hepatocellular Carcinoma
Document Type
article
Author
Zenichi Morise; Luca Aldrighetti; Giulio Belli; Francesca Ratti; Tan To Cheung; Chung Mau Lo; Shogo Tanaka; Shoji Kubo; Yukiyasu Okamura; Katsuhiko Uesaka; Kazuteru Monden; Hiroshi Sadamori; Kazuki Hashida; Kazuyuki Kawamoto; Naoto Gotohda; KuoHsin Chen; Akishige Kanazawa; Yutaka Takeda; Yoshiaki Ohmura; Masaki Ueno; Toshiro Ogura; Kyung Suk Suh; Yutaro Kato; Atsushi Sugioka; Andrea Belli; Hiroyuki Nitta; Masafumi Yasunaga; Daniel Cherqui; Nasser Abdul Halim; Alexis Laurent; Hironori Kaneko; Yuichiro Otsuka; Ki Hun Kim; Hwui-Dong Cho; Charles Chung-Wei Lin; Yusuke Ome; Yasuji Seyama; Roberto I. Troisi; Giammauro Berardi; Fernando Rotellar; Gregory C. Wilson; David A. Geller; Olivier Soubrane; Tomoaki Yoh; Takashi Kaizu; Yusuke Kumamoto; Ho-Seong Han; Ela Ekmekcigil; Ibrahim Dagher; David Fuks; Brice Gayet; Joseph F. Buell; Ruben Ciria; Javier Briceno; Nicholas O’Rourke; Joel Lewin; Bjorn Edwin; Masahiro Shinoda; Yuta Abe; Mohammed Abu Hilal; Mohammad Alzoubi; Minoru Tanabe; Go Wakabayashi
Source
Cancers, Vol 14, Iss 11, p 2598 (2022)
Subject
Language
English
ISSN
2072-6694
Abstract
Whether albumin and bilirubin levels, platelet counts, ALBI, and ALPlat scores could be useful for the assessment of permanent liver functional deterioration after repeat liver resection was examined, and the deterioration after laparoscopic procedure was evaluated. For 657 patients with liver resection of segment or less in whom results of plasma albumin and bilirubin levels and platelet counts before and 3 months after surgery could be retrieved, liver functional indicators were compared before and after surgery. There were 268 patients who underwent open repeat after previous open liver resection, and 224 patients who underwent laparoscopic repeat after laparoscopic liver resection. The background factors, liver functional indicators before and after surgery and their changes were compared between both groups. Plasma levels of albumin (p = 0.006) and total bilirubin (p = 0.01) were decreased, and ALBI score (p = 0.001) indicated worse liver function after surgery. Laparoscopic group had poorer preoperative performance status and liver function. Changes of liver functional values before and after surgery and overall survivals were similar between laparoscopic and open groups. Plasma levels of albumin and bilirubin and ALBI score could be the indicators for permanent liver functional deterioration after liver resection. Laparoscopic group with poorer conditions showed the similar deterioration of liver function and overall survivals to open group.