한국간담췌외과학회지 (Annals of Hepato-Biliary-Pancreatic Surgery)

  • 제26권3호
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  • Pages.257-262
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  • 2022
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  • 2508-5778(pISSN)
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  • 2508-5859(eISSN)
한국간담췌외과학회 (The Korean Association of Hepato-Biliary-Pancreatic Surgery)
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Influence of middle hepatic vein resection during right or left hepatectomy on post hepatectomy outcomes

  • Anisa Nutu (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • Michael Wilson (Department of Nuclear Medicine, Queen Elizabeth Hospital) ;
  • Erin Ross (Department of Nuclear Medicine, Queen Elizabeth Hospital) ;
  • Kunal Joshi (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • Robert Sutcliffe (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • Keith Roberts (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • Ravi Marudanayagam (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • Paolo Muiesan (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • Nikolaos Chatzizacharias (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • Darius Mirza (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • John Isaac (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital) ;
  • Bobby V. M. Dasari (Department of Hepato-Biliary and Pancreatic and Liver Transplantation, Queen Elizabeth Hospital)
  • 투고 : 2021.11.18
  • 심사 : 2022.02.04
  • 발행 : 2022.08.31
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초록

Backgrounds/Aims: Middle hepatic vein (MHV) is usually preserved as a part of the right or left hepatectomy in order preserve the venous outflow of remnant liver. The aim of this study was to evaluate if resection of MHV could influence post-resection outcomes of standard right or left hepatectomy. Methods: Patients who underwent standard right or left hepatectomy between January 2015 and December 2019 were included. Anatomical remnant liver volumes were measured retrospectively using the Hermes workstation (Hermes Medical Solutions AB, Stockholm, Sweden). Uni- and multi-variate analyses were performed to assess the difference in outcomes of those with preservation of MHV and those without preservation. Results: A total of 144 patients were included. Right hepatectomy was performed for 114 (79.2%) and left hepatectomy was performed for 30 (20.8%) patients. MHV was resected for 13 (9.0%) in addition to the standard right or left hepatectomy. Median remnant liver volume was significantly higher in the MHV resected group (p < 0.01). There was no significant difference in serum level of bilirubin, international normalized ratio, alanine aminotransferase, creatinine on postoperative day 1, 3, 5, or 10, ≥ grade IIIa complications (p = 0.44), or 90-day mortality (p = 0.41). On multivariable analysis, resection of the MHV did not influence the incidence of post hepatectomy liver failure (p = 0.52). Conclusions: Resection of the MHV at standard right or left hepatectomy did not have a negative impact on postoperative outcomes of patients with adequate remnant liver volume.

키워드

과제정보

The Preliminary findings were presented at the 14th Congress of the European-African Hepato-Pancreato-Biliary Association (E-AHPBA), 15-17 September 2021, Bibalo. HPB 2021;23(Suppl 3):801.

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