结合术前白蛋白胆红素评分和肝切除百分比评估肝部分切除术后的肝再生情况。

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastroenterology Pub Date : 2024-10-28 DOI:10.3748/wjg.v30.i40.4376
Gao-Lin Wen, Jing-Lin Wang
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引用次数: 0

摘要

手术切除是解决肝脏占位性病变的关键治疗方法,肝脏体积恢复和肝功能恢复是评估手术预后的关键。术前白蛋白胆红素(ALBI)评分包括血清白蛋白和胆红素水平,可通过血液分析确定,有效减少人为误差,准确描述肝功能。肝切除比例是指切除的肝脏体积占肝脏总体积的比例,对于保留足够的肝组织体积以确保术后肝功能代偿、减少手术并发症和降低死亡率至关重要。结合术前 ALBI 评分和肝切除比例有助于外科医生评估肝部分切除术的最佳时机和范围。术前白蛋白胆红素评分和肝切除比例的引入有利于外科医生评估肝部分切除的时机和程度。
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Combined preoperative albumin bilirubin score and hepatectomy percentage for evaluate the liver regeneration after partial hepatectomy.

Surgical resection is a pivotal therapeutic approach for addressing hepatic space-occupying lesions, with liver volume restoration and hepatic functional recovery being crucial for assessing surgical prognosis. The preoperative albumin-bilirubin (ALBI) score, encompassing serum albumin and bilirubin levels, can be determined via blood analysis, effectively mitigating human error and providing an accurate depiction of liver function. The hepatectomy ratio, which is the proportion of the liver volume removed to the total liver volume, is critical in preserving an adequate liver tissue volume to ensure postoperative hepatic functional compensation, minimize surgical complications, and reduce mortality rates. Incorporating the preoperative ALBI score and hepatectomy ratio aids surgeons in assessing the optimal timing and extent of partial hepatectomy. The introduction of preoperative albumin bilirubin score and hepatectomy percentage is beneficial for the surgeons to evaluate the timing and magnitude of partial liver resection.

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来源期刊
World Journal of Gastroenterology
World Journal of Gastroenterology 医学-胃肠肝病学
CiteScore
7.80
自引率
4.70%
发文量
464
审稿时长
2.4 months
期刊介绍: The primary aims of the WJG are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in gastroenterology and hepatology.
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