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indocyanine green retention is a potential prognostic indicator after splenectomy and pericardial devascularization for cirrhotic patients

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Hepatobiliary & Pancreatic Diseases International 2016年第4期15卷 386-390页

作者： Yuan-Biao Zhang Yi Lu Wei-Ding Wu Cheng-Wu Zhang Guo-Liang Shen De-Fei Hong Department of Hepatopancreaticobiliary Surgery&Laparoscopic Minimally hwasive Surgery Zhejiang Provincial People's HospitalHangzhou 310014China

BACKGROUND：splenectomy and pericardial devascularization（SPD）is an effective treatment of upper gastrointestinal bleeding and hypersplenism in cirrhotic patients with portal *** green retention at 15 minutes（ICGR15）was reported to offer better sensitivity and specificity than the Child-Pugh classification in hepatectomy,but few reports describe ICGR15 in *** present study was to evaluate the prognostic value of ICGR15 for cirrhotic patients with portal hypertension who underwent ***：From January 2012 to January 2015,43 patients with portal hypertension and hypersplenism caused by liver cirrhosis were admitted in our center and received *** ICGR15,Child-Pugh classification,model for end-stage liver disease（MELD）score,and perioperative characteristics were analyzed ***：Preoperative liver function assessment revealed that 34 patients were Child-Pugh class A with ICGR15 of13.6%-43.0%and MELD score of 7-20;8 patients were class B with ICGR15 of 22.8%-40.7%and MELD score of 7-17;1patient was class C with ICGR15 of 39.7%and MELD score of *** optimal ICGR15 threshold for liver function compensation was 31.2%,which offered a sensitivity of 68.4%and a specificity of 70.8%.Univariate analysis showed preoperative ICGR15,MELD score,surgical procedure,intraoperative blood loss,and autologous blood transfusion were significantly different between postoperative liver function compensated and decompensated *** regression analysis revealed that ICGR15 was an independent risk factor of postoperative liver function recovery（P=0.020）.CONCLUSIONS：ICGR15 has outperformed the Child-Pugh classification for assessing liver function in cirrhotic patients with portal ***15 may be a suitable prognostic indicator for cirrhotic patients after SPD.

关键词： indocyanine green liver function test liver cirrhosis splenectomy pericardial devascularization

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