FIELD: medicine.
SUBSTANCE: invention can be used to predict post-resection liver failure (PLF) in the early postoperative period. The following factors are determined: the volume of blood loss during surgery, duration of surgery, total bilirubin level, the level of prothrombin index (PTI) and the concentration of lactate on the first day after surgery. The resulting data are scored. These scores are summed and PLF prognostic criterion (P) is determined. At P = 4-5 PLF likelihood as per ISGLS classes is as follows: 100% B and C. At P = 3 PLF likelihood is 41% for class A, 12.8% for B and C. At P = 2 PLF likehood is 18.1% for class A, 0% for B and C. At P = 1 PLF likehood is 7.7% for class A, 0% for class B and C. At P = 0 PLF likehood is 0%.
EFFECT: method can accurately predict the acute liver failure at the early stages after extensive liver resections due to assessment of the most significant factors.
4 tbl, 3 ex
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Authors
Dates
2017-02-14—Published
2016-03-31—Filed