METHOD FOR PREDICTION AND PREVENTION OF POST-RESECTION ACUTE LIVER FAILURE IN PATIENTS WITH PRIMARY AND METASTATIC LIVER CANCER
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to oncology, hepatobiliary surgery, and concerns the method of preoperative assessment of liver resection volumes in patients with primary and metastatic liver cancer to reduce the incidence of postresection acute liver failure (PROPN)...
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Zusammenfassung: | FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to oncology, hepatobiliary surgery, and concerns the method of preoperative assessment of liver resection volumes in patients with primary and metastatic liver cancer to reduce the incidence of postresection acute liver failure (PROPN). Essence of the method: conduct a comprehensive assessment of the anatomical and functional solvency of the liver parenchyma: CT and/or ultrasound imaging,C-metacetinic respiratory test, ICG test, dynamic liver scintigraphy, and on the basis of the obtained diagnostic data, one of the variants of liver resection is performed: if the remaining volume of the liver is FLR≥30 % and the functional reserve of the liver is not reduced by the results of three tests: KRP≥1.6, R15 |
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