Copyright
©The Author(s) 2018.
World J Gastrointest Surg. Feb 27, 2018; 10(2): 21-27
Published online Feb 27, 2018. doi: 10.4240/wjgs.v10.i2.21
Published online Feb 27, 2018. doi: 10.4240/wjgs.v10.i2.21
Table 1 Patient characteristics
| No resection | Minor resection | Major resection | |
| No. of patients | 4 | 16 | 15 |
| Gender (male:female) | 1:3 | 8:8 | 8:7 |
| Age (yr) | 69 (56-76) | 75 (66-79) | 66 (50-74) |
| BMI (kg/m²) | 23.5 (21.4-28.6) | 24.7 (21.8-26.8) | 26.8 (25.2-28.7) |
| Weight (kg) | 64 (53-86) | 72 (63-83) | 78 (70-90) |
| ASA physical status (1/2:3/4) | 3:1 | 10:6 | 10:5 |
| Preoperative bilirubin (µmol/L) | 5 (4-7) | 6 (5-10) | 7 (6-11) |
| Preoperative INR | 1.0 (0.9-1.0) | 1.0 (0.9-1.1) | 1.0 (1.0-1.1) |
| Diagnosis | |||
| Colorectal metastases | 3 | 13 | 11 |
| Other malignant tumors | 0 | 2 | 3 |
| Benign tumors | 1 | 1 | 1 |
| Number of hepatic tumors | 5 (1-7) | 1 (1-2) | 2 (2-6) |
| Largest hepatic tumor (mm) | 42 (17-57) | 30 (10-45) | 30 (23-51) |
| Preoperative chemotherapy | 2 | 6 | 12 |
| Oxaliplatin-based therapy | 2 | 4 | 9 |
| Liver lobe operated (right lobe:left lobe:both lobes) | - | 7:4:5 | 7:0:8 |
| Operating time (h) | 2.5 (2-3) | 3 (3-5.5) | 6 (4.5-7) |
| Operative bleeding (mL) | 125 (100-150) | 275 (150-500) | 650 (400-1100) |
| Length of hospital stay (d) | 3 (2-6) | 6 (3-9) | 6 (5-7) |
| Liver parenchyma damage | |||
| Steatosis | - | 0 | 1 |
| Steatohepatitis | - | 0 | 0 |
| SOS | - | 0 | 0 |
Table 2 Liver and spleen stiffness measurements for the minor and major resection groups
| Minor resection | Major resection | P value | |
| No. of patients | 16 | 15 | - |
| Future liver remnant (m/s) | 1.31 (1.15-1.52) | 1.41 (1.24-1.63) | 0.318 |
| Right liver lobe preoperative (m/s) | 1.29 (1.12-1.49) | 1.38 (1.14-1.57) | 0.423 |
| Left liver lobe preoperative (m/s) | 1.35 (1.06-1.71) | 1.41 (1.29-1.63) | 0.667 |
| Spleen preoperative (m/s) | 2.76 (2.36-2.91) | 2.69 (2.33-3.11) | 0.984 |
| Liver remnant postoperative (m/s) | 1.37 (1.12-1.77) | 2.20 (1.72-2.44) | < 0.001 |
| Spleen postoperative (m/s) | 2.83 (2.44-3.18) | 2.90 (2.63-3.50) | 0.216 |
| Relative difference in liver remnant (%) | 4 (-16-24) | 42 (33-71) | 0.001 |
| Relative difference in the spleen (%) | 2 (-1-13) | 16 (7-33) | 0.047 |
- Citation: Eriksson S, Borsiin H, Öberg CF, Brange H, Mijovic Z, Sturesson C. Perioperative liver and spleen elastography in patients without chronic liver disease. World J Gastrointest Surg 2018; 10(2): 21-27
- URL: https://www.wjgnet.com/1948-9366/full/v10/i2/21.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v10.i2.21