1. Early Regeneration of the Remnant Liver Volume after Right Hepatectomy for Living Donation: A Multiple Regression Analysis
- Author
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Vishal Parikh, Giovanbattista Vizzini, Duilio Pagano, Angelo Luca, Bruno Gridelli, Roberto Miraglia, Salvatore Gruttadauria, Davide Cintorino, Fabio Tuzzolino, Marco Spada, Gruttadauria, S, Parikh, V, Pagano, D, Tuzzolino, F, Cintorino, D, Miraglia, R, Spada, M, Vizzini, G, Luca, A, and Gridelli, B
- Subjects
Adult ,Male ,medicine.medical_specialty ,Early liver regeneration remnant liver volume right hepatectomy living donation ,Databases, Factual ,medicine.medical_treatment ,Early Regeneration ,Urology ,Liver transplantation ,Body Mass Index ,chemistry.chemical_compound ,Liver Function Tests ,Multidetector Computed Tomography ,Living Donors ,medicine ,Hepatectomy ,Humans ,Retrospective Studies ,Transplantation ,Creatinine ,Hepatology ,medicine.diagnostic_test ,business.industry ,Liver Diseases ,Middle Aged ,medicine.disease ,Liver regeneration ,Liver Regeneration ,Liver Transplantation ,Surgery ,Treatment Outcome ,Liver ,chemistry ,Regression Analysis ,Female ,Steatosis ,business ,Liver function tests ,Body mass index - Abstract
Early liver regeneration was studied in a series of 70 patients who underwent right hepatectomy for living donation between November 2004 and January 2010. Liver regeneration was evaluated with multidetector computed tomography (MDCT) at a mean of 61.07 days after surgery. Presurgical variables [eg, age, weight, height, body mass index (BMI), liver function tests, creatinine levels, platelet counts, international normalized ratio, and glucose levels] and variables detected with preoperative MDCT imaging [eg, main portal vein diameter, steatosis, original liver volume, and spleen volume (SV)] were investigated as potential predictors of liver regeneration. The future remnant liver volume (FRLV) was preoperatively calculated with a virtual surgical cut. Liver function tests and creatinine levels were recorded on the 30th postoperative day. In addition, the onset of postoperative complications occurring within 90 days of surgery was analyzed, and the complications were codified according to the 5 tiers of the Clavien-Dindo classification. In 26 of the 70 patients (37.14%), 100% or greater hepatic regeneration had occurred at 2 months. There was no association between the clinical outcome and the liver regeneration rate. A stepwise multiple regression analysis showed that a higher BMI (coefficient = 0.035, P < 0.0001) and preoperative parameters such as a smaller FRLV (coefficient = -0.002, P < 0.0001) and a greater SV/FRLV ratio (coefficient = 1.196, P < 0.0001) were predictors of greater liver regeneration. Liver Transpl, 2012. © 2012 AASLD.
- Published
- 2012