Erschienen in:
25.06.2021 | Research Communication
99mTc-GSA Scintigraphy Could Predict Post-Hepatectomy Liver Failure–Related Death in Biliary Surgery
verfasst von:
Takehiro Noji, MD, PhD, Ayano Inoue, Yoshitsugu Nakanishi, Takahiro Tsuchikawa, Keisuke Okamura, Kenji Hirata, Satoshi Hirano
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 12/2021
Einloggen, um Zugang zu erhalten
Excerpt
Indocyanine green (ICG) regression test (ICG retention rate at 15 min, ICGR15; or the plasma disappearance rate of ICG, ICGK) is widely used to evaluate hepatic functional reserve before liver surgery.
1 An alternative method is
99mTc-galactosyl human serum albumin liver scintigraphy (
99mTc-GSAS).
1‐
3 Previous studies have shown that the parameters obtained by
99mTC-GSAS (blood clearance [HH15] and liver uptake [LHL15]) showed a significant correlation with those obtained by ICGR (ICGR15 or ICGK). No validation studies were shown for these correlations in patients with biliary malignancies with liver damage due to obstructive jaundice.
1‐
3 Furthermore, the role of
99mTc-GSAS in appropriate candidate selection for major hepatectomy in biliary surgery is unclear. …