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Table 2 Relationship between perioperative factors and PHLF

From: 99mTc-GSA scintigraphy and modified albumin–bilirubin score can be complementary to ICG for predicting posthepatectomy liver failure

 

PHLF ( −)

PHLF ( +)

P value

n (%)

347(84)

66 (16)

 

Age, yearsa

69.0 [58.0, 75.0]

72.0 [63.3, 75.8]

0.031

Genderb

  

0.026

 Male

212 (61.1)

50 (75.8)

 

 Female

135 (38.9)

16 (24.2)

 

ASA-PSb

  

0.306

 1

43 (12.4)

5 (7.6)

 

 2

280 (80.7)

59 (89.7)

 

 3

24 (6.9)

2 (3.0)

 

Approachb

  

0.667

 Open

102 (29.4)

23 (34.8)

 

 Laparoscopic

201 (57.9)

36 (54.5)

 

 Robotic

44 (12.7)

7 (10.6)

 

Child–Pugh classification

  

0.349

 A

331 (95.4)

61 (92.4)

 

 B

14 (4.0)

4 (6.1)

 

 C

2 (0.6)

1 (1.5)

 

 MELD score

6.76 [6.09, 7.50]

7.40 [6.65, 8.42]

 < 0.001

 ALBI scorea

 − 2.57 [− 2.82, − 2.32]

 − 2.28 [− 2.52, − 1.99]

 < 0.001

mALBI gradeb

  

 < 0.001

 1

161 (46.4)

10 (15.2)

 

 2a

112 (32.3)

23 (34.8)

 

 2b

65 (18.7)

30 (45.5)

 

 3

9 (2.6)

3 (4.5)

 

 ICG-R15,%a

11.4 [7.6, 16.0]

19.2 [10.4, 30.6]

 < 0.001

 LHL15a

0.93 [0.90, 0.94]

0.91 [0.87, 0.93]

0.002

Esophagogastric varicesb

  

 < 0.001

 ( −)

311 (89.6)

41 (62.1)

 

 ( +)

36 (10.4)

25 (37.9)

 

Major hepatectomy

  

0.048

 No

235 (67.7)

36 (54.5)

 

 Yes

112 (32.3)

30 (45.5)

 

Operation time, minb

510.0 [345.5, 641.5]

713.0 [ 491.3, 898.5]

 < 0.001

 Blood loss, mLb

185.0 [61.0, 546.5]

639.0 [216.3, 1279.3]

 < 0.001

  1. Continuous variables showed a nonnormal distribution and are presented as median and interquartile range. Hr1, 2, and 3 hepatectomy were classified as major hepatectomy
  2. ASA-PS American Society of Anesthesiologists physical status, MELD score Model for End Liver Disease, ICG-R15 indocyanine green retention rate at 15 min, LHL15 radioactivity of the heart and liver after intravenous injection of 99mTc-GSA scintigraphy, Hr0 partial resection, HrS subsegmentectomy, Hr1 segmentectomy, Hr2 lobectomy and central bisegmentectomy, Hr3 trisectomy and caudate lobectomy, PHLF Posthepatectomy liver failure
  3. aValues are presented as median (interquartile range)
  4. bValues are presented as number (%)