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Clinical characteristics of hepatopulmonary syndrome and hepatorenal syndrome and associated therapeutic potential of transjugular intrahepatic portosystemic shunt 经颈静脉肝内门静脉系统分流术肝肺综合征和肝肾综合征的临床特点及治疗潜力
iLIVER Pub Date : 2023-03-01 DOI: 10.1016/j.iliver.2023.02.001
Haoyu Wang, Fuquan Liu
{"title":"Clinical characteristics of hepatopulmonary syndrome and hepatorenal syndrome and associated therapeutic potential of transjugular intrahepatic portosystemic shunt","authors":"Haoyu Wang,&nbsp;Fuquan Liu","doi":"10.1016/j.iliver.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.iliver.2023.02.001","url":null,"abstract":"<div><p>Hepatorenal syndrome (HRS) and hepatopulmonary syndrome (HPS) are two serious complications of liver disease, causing damage not only to the liver but also to the kidneys, lungs, and heart. HRS and HPS affect the patient's circulatory and respiratory systems, with poor prognosis and high mortality in clinical practice. There is a lack of effective treatment other than liver transplantation. Transjugular intrahepatic portosystemic shunt (TIPS) is an effective tool to prolong the survival of patients with advanced liver disease and is mainly used to treat portal hypertension and ascites because it can effectively reduce portal pressure. Studies on the treatment of both of these complications with TIPS are limited and deserve further study because the therapeutic effects of TIPS have the potential to improve the prognosis of severe liver disease. This article reviews the clinical features of HRS and HPS, the consequences of these syndromes, and the potential mechanistic effects after TIPS intervention.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"2 1","pages":"Pages 67-72"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49735247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in magnetic particle imaging and perspectives on liver imaging 磁颗粒成像研究进展及肝脏影像学展望
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.10.003
Wei Li , Xiaohua Jia , Lin Yin , Zhiyun Yang , Hui Hui , Jianlin Li , Wenhui Huang , Jie Tian , Shuixing Zhang
{"title":"Advances in magnetic particle imaging and perspectives on liver imaging","authors":"Wei Li ,&nbsp;Xiaohua Jia ,&nbsp;Lin Yin ,&nbsp;Zhiyun Yang ,&nbsp;Hui Hui ,&nbsp;Jianlin Li ,&nbsp;Wenhui Huang ,&nbsp;Jie Tian ,&nbsp;Shuixing Zhang","doi":"10.1016/j.iliver.2022.10.003","DOIUrl":"10.1016/j.iliver.2022.10.003","url":null,"abstract":"<div><p>Magnetic particle imaging (MPI) is an emerging technique to visualize the spatial distribution of superparamagnetic iron oxide with high temporal–spatial resolution, high sensitivity, unlimited image depth, and true quantitative information. MPI is based on the nonlinear response of superparamagnetic iron oxide in an alternating magnetic field without tissue background noise. It is a promising imaging modality for various applications, including vascular imaging, cell tracking, tumor imaging, and catheter navigation. Many applications of liver imaging could be improved or created with MPI. In this review, we cover the principle and construction of MPI, we evaluate the features and advantages of MPI with relation to its own rationale and via comparison with other imaging modalities, and we review MPI liver imaging applications with a view toward assisting hepatic researchers in drawing inspiration.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"1 4","pages":"Pages 237-244"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772947822000767/pdfft?md5=557fdc234ad773f7432f89ae049390ae&pid=1-s2.0-S2772947822000767-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91475252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Role of PIVKA-II in screening for malignancies at a hepatobiliary and pancreatic disease center: A large-scale real-world study PIVKA-II在肝胆胰疾病中心筛查恶性肿瘤中的作用:一项大规模的现实世界研究
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.11.003
Chenghao Ge , Mingjie Luo , Kaiyuan Guo , Dong Zhu , Ning Han , Tengjiao Wang , Xiuying Zhao
{"title":"Role of PIVKA-II in screening for malignancies at a hepatobiliary and pancreatic disease center: A large-scale real-world study","authors":"Chenghao Ge ,&nbsp;Mingjie Luo ,&nbsp;Kaiyuan Guo ,&nbsp;Dong Zhu ,&nbsp;Ning Han ,&nbsp;Tengjiao Wang ,&nbsp;Xiuying Zhao","doi":"10.1016/j.iliver.2022.11.003","DOIUrl":"10.1016/j.iliver.2022.11.003","url":null,"abstract":"<div><h3>Background and aims</h3><p>Protein induced by vitamin K absence or antagonist II (PIVKA-II) is a well-accepted biomarker for diagnosing hepatocellular carcinoma (HCC). Although nonspecific increase of PIVKA-II has been reported, real-world evidence remains scarce. Based on real-world data, this study aimed to comprehensively describe the use of PIVKA-II at a hepatobiliary and pancreatic disease center and to assess its utility for the initial screening of HCC or other hepatobiliary–pancreatic malignancies.</p></div><div><h3>Methods</h3><p>This real-world retrospective study is based on the PIVKA-II results of 16,215 individuals and other relevant laboratory test (alpha-fetoprotein [AFP], carbohydrate antigen 19-9 [CA19-9], liver function, blood coagulation indicators, hepatitis B virus, and hepatitis C virus). However, only the first PIVKA-II results of 7809 eligible individuals were included. Between-group comparisons, correlation analysis, and receiver operating characteristic curve analysis were performed.</p></div><div><h3>Results</h3><p>PIVKA-II results were abnormal in patients with HCC (55.9%), biliary carcinoma (BC, 13.4%), gastrointestinal and pancreatic cancer (6.3%), and benign diseases (23.5%) as well as in healthy individuals (0.92%). The area under the curve of PIVKA-II for detecting malignancies was 0.7754 (0.7620–0.7688), whereas that for detecting HCC was 0.7509 (0.7357–0.7662). Stratifying the PIVKA-II values or combining PIVKA-II with AFP or CA19-9 helped improve the diagnostic performance of PIVKA-II for HCC. PIVKA-II values were significantly positively correlated with AST in patients with HCC and with bilirubin in patients with BC.</p></div><div><h3>Conclusions</h3><p>This study determined the role of PIVKA-II in malignancy screening at hepatobiliary and pancreatic disease centers. It was also noted that the diagnostic efficacy of PIVKA-II for HCC improved after combining PIVKA-II with AFP or stratifying its value.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"1 4","pages":"Pages 209-216"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772947822000809/pdfft?md5=d96911fe459e869c4313d48045bc1477&pid=1-s2.0-S2772947822000809-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78400468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Position statement of Hepatology Society, Dhaka, Bangladesh, on the management of acute variceal bleeding in a resource-limited setting 孟加拉国达卡肝病学会关于资源有限环境下急性静脉曲张出血处理的立场声明
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.11.004
Tanvir Ahmad , Shahinul Alam , Saiful Islam , Golam Azam , Mahabubul Alam , SKM Nazmul Hasan , Golam Mustafa , Motahar Hossain , Md. Akmat Ali , Mobin Khan
{"title":"Position statement of Hepatology Society, Dhaka, Bangladesh, on the management of acute variceal bleeding in a resource-limited setting","authors":"Tanvir Ahmad ,&nbsp;Shahinul Alam ,&nbsp;Saiful Islam ,&nbsp;Golam Azam ,&nbsp;Mahabubul Alam ,&nbsp;SKM Nazmul Hasan ,&nbsp;Golam Mustafa ,&nbsp;Motahar Hossain ,&nbsp;Md. Akmat Ali ,&nbsp;Mobin Khan","doi":"10.1016/j.iliver.2022.11.004","DOIUrl":"https://doi.org/10.1016/j.iliver.2022.11.004","url":null,"abstract":"<div><p>Variceal bleeding is one of the important signs of decompensation in patients with cirrhosis of the liver. It is always a medical emergency and sometimes results in death. Every year many patients die due to acute bleeding worldwide. The outcome depends on bleeding and its complications as well as the severity of the underlying liver disease. Careful volume resuscitation, administration of antibiotics and vasoactive drugs, and early endoscopic therapy prevent rebleeding and death. People living in rural areas are first referred to a district hospital from the Upazila health complex for any medical emergency. So, commencing the resuscitation process as well as administration of the vasoactive drug (terlipressin) at the first attending hospital before being referred to a higher center will decrease the mortality in patients presenting with acute variceal bleeding.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"1 4","pages":"Pages 205-208"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772947822000810/pdfft?md5=518728c8c62ab8fc335020f0a21afd13&pid=1-s2.0-S2772947822000810-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92102380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visual analysis of mesenchymal stem cell research in liver disease based on bibliometrics 基于文献计量学的肝脏疾病间充质干细胞研究的可视化分析
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.11.006
Chengzuo Han , Rui Wang , Nan Xu , Xuyong Wei , Qiang Wei , Xiao Xu
{"title":"Visual analysis of mesenchymal stem cell research in liver disease based on bibliometrics","authors":"Chengzuo Han ,&nbsp;Rui Wang ,&nbsp;Nan Xu ,&nbsp;Xuyong Wei ,&nbsp;Qiang Wei ,&nbsp;Xiao Xu","doi":"10.1016/j.iliver.2022.11.006","DOIUrl":"10.1016/j.iliver.2022.11.006","url":null,"abstract":"<div><p>The research of mesenchymal stem cells (MSCs) in the field of liver diseases has received more and more attention. This paper introduces the current situation, hot spots, and development trends in this field. Comprehensive searches were conducted using Web of Science Core Collection from January 1, 2000 to December 13, 2021 with the following keywords: TS(topic) = (liver∗OR hepatic∗OR hepatocyte) AND TS(topic) = (Mesenchymal stem cell∗). VOSviewer (version 1.6.16) and CiteSpace V are used as bibliometric tools to analyze and visualize the knowledge graph. A total of 4452 papers were included in this study, and the number of research papers on MSCs in the field of liver diseases increased from January 2000 to December 2020. Eighty-four countries and regions have published articles on research in this field, among which China and the United States are the main two countries of publication. Based on the keyword burst detection, we find that the research in this field has shifted from basic research to clinical application, from medical research to interdisciplinary research. Tissue engineering and regenerative medicine are the frontier fields of MSCs research in liver diseases. Multicountry, multi-author cooperation, and multi-disciplinary intersection are the research trends in this field. Exocrine body, obesity, and tissue engineering are the hotspots in this field.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"1 4","pages":"Pages 283-291"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772947822000834/pdfft?md5=fe3832d64c585360344868fcc6254126&pid=1-s2.0-S2772947822000834-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75843089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Raf kinase inhibitor protein on biological characteristics of hepatocellular carcinoma cells and its potential therapeutic effects Raf激酶抑制蛋白对肝癌细胞生物学特性的影响及其潜在的治疗作用
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.11.005
Zhang Lin , Zhu Jianhua , Wu Kai , Hou Yanhong, Liu Haorun
{"title":"Effects of Raf kinase inhibitor protein on biological characteristics of hepatocellular carcinoma cells and its potential therapeutic effects","authors":"Zhang Lin ,&nbsp;Zhu Jianhua ,&nbsp;Wu Kai ,&nbsp;Hou Yanhong,&nbsp;Liu Haorun","doi":"10.1016/j.iliver.2022.11.005","DOIUrl":"10.1016/j.iliver.2022.11.005","url":null,"abstract":"<div><h3>Background and aims</h3><p>Raf kinase inhibitor protein (RKIP) is an important member of the phosphatidylethanolamine-binding protein family. This study investigated the inhibitory effect of RKIP on the malignant biological behavior of liver cancer cells in vivo and in vitro.</p></div><div><h3>Methods</h3><p>An RKIP gene expression vector was constructed using the pcDNA3.1 vector and transfected into human hepatoma cell line HepG2 to overexpress the RKIP gene. Growth, proliferation, the cell cycle, apoptosis, migration, and invasion of the cell line were analyzed. For in vivo experiments, the vector was transfected into tumor tissue of hepatoma-bearing animals and then tumor growth was analyzed and compared with the control to assess its anti-tumor effect.</p></div><div><h3>Results</h3><p>Compared with the control group, cell growth in the RKIP gene transfection group (HEP-RKIP) was significantly slower. The average colony formation rate of the HEP-RKIP group was significantly lower than that of the other two groups (<em>p</em> &lt; 0.05). The proportion of HEP-RKIP cells in G0/G1 phase was significantly higher than that of the control group (<em>p</em> &lt; 0.05), while the proportion of cells in G2/M phase was significantly lower than that in the control group (<em>p</em> &lt; 0.05). The apoptosis rate of HEP-RKIP cells was approximately 6.4%, which was significantly higher than that of the control group (<em>p</em> &lt; 0.05). Migration of HEP-RKIP cells was significantly slower than that of the other two groups (<em>p</em> &lt; 0.05). In an inhibition experiment of the liver tumor animal model, the tumor inhibition rate of the RKIP in vivo transfection group was significantly higher than that of each control group (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>RKIP inhibits malignant biological behavior of liver cancer cells in vitro and has a tumor inhibitory effect in vivo, which may be a potential target for gene therapy of liver cancer.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"1 4","pages":"Pages 275-282"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772947822000822/pdfft?md5=e7e713af36364e9fd469f87674bcc6a5&pid=1-s2.0-S2772947822000822-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84853445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anatomical hepatectomy for achieving textbook outcome for perihilar cholangiocarcinoma treated with curative-intent resection: A multicenter study 解剖性肝切除术对肝门周围胆管癌的治疗效果达到教科书的标准:一项多中心研究
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.10.004
Cheng Chen , Zhi-Peng Liu , Wei-Yue Chen , Xiang Wang , Yun-Hua Liu , Yue Wang , Xing-Chao Liu , Hai-Ning Fan , Jie Bai , Yan Jiang , Yan-Qi Zhang , Hai-Su Dai , Zhi-Yu Chen
{"title":"Anatomical hepatectomy for achieving textbook outcome for perihilar cholangiocarcinoma treated with curative-intent resection: A multicenter study","authors":"Cheng Chen ,&nbsp;Zhi-Peng Liu ,&nbsp;Wei-Yue Chen ,&nbsp;Xiang Wang ,&nbsp;Yun-Hua Liu ,&nbsp;Yue Wang ,&nbsp;Xing-Chao Liu ,&nbsp;Hai-Ning Fan ,&nbsp;Jie Bai ,&nbsp;Yan Jiang ,&nbsp;Yan-Qi Zhang ,&nbsp;Hai-Su Dai ,&nbsp;Zhi-Yu Chen","doi":"10.1016/j.iliver.2022.10.004","DOIUrl":"10.1016/j.iliver.2022.10.004","url":null,"abstract":"<div><h3>Background and aim</h3><p>The textbook outcome (TO) is a comprehensive measure that is superior to individual measures for analysis of surgical quality of care. Anatomical hepatectomy (AH) is beneficial in terms of short-term outcomes in patients undergoing resection. This study was performed to investigate the association between AH and achieving the TO for patients with perihilar cholangiocarcinoma (pCCA) treated with curative-intent resection.</p></div><div><h3>Methods</h3><p>This study involved patients who underwent curative-intent resection for newly diagnosed pCCA from January 2013 to January 2018 at three hospitals in China. All patients were divided into two groups according to the type of hepatectomy: the AH group and non-AH group. The incidence and distribution of achieving the TO were compared between the two groups. Univariable and multivariable logistic regression analyses were used to identify independently predictive factors associated with achieving the TO in patients with pCCA.</p></div><div><h3>Results</h3><p>In total, 333 patients were enrolled [AH group, 225 (67.6%); non-AH group, 108 (32.4%)]. The incidence of achieving the TO in all patients was 24.3%, and the incidence was significantly higher in the AH than non-AH group (30.7% <em>vs.</em> 11.1%, respectively). Multivariable analysis revealed that AH, total bilirubin concentration of &lt;34 μmol/L, maximum tumor size of &lt;3 cm, no macrovascular invasion, and no lymph node metastasis were independently associated with a higher incidence of achieving the TO.</p></div><div><h3>Conclusions</h3><p>The TO was achieved in approximately one-fourth of patients with pCCA who underwent curative-intent resection. The use of AH was more conducive to achieving the TO in patients with pCCA.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"1 4","pages":"Pages 245-251"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772947822000779/pdfft?md5=d18743ca122f9b68c8340eefb4976457&pid=1-s2.0-S2772947822000779-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80185738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Viral diseases in Africa: Preventing the outbreak of acute hepatitis of unknown etiology 非洲的病毒性疾病:预防不明原因急性肝炎的爆发
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.10.002
Okereke Promise Udohchukwu , Innocent Kitandu Paul , Margareth Richard Mallya , Matilda K. Basinda , Sospeter Berling Sospeter , Juvenali Ruaichi
{"title":"Viral diseases in Africa: Preventing the outbreak of acute hepatitis of unknown etiology","authors":"Okereke Promise Udohchukwu ,&nbsp;Innocent Kitandu Paul ,&nbsp;Margareth Richard Mallya ,&nbsp;Matilda K. Basinda ,&nbsp;Sospeter Berling Sospeter ,&nbsp;Juvenali Ruaichi","doi":"10.1016/j.iliver.2022.10.002","DOIUrl":"10.1016/j.iliver.2022.10.002","url":null,"abstract":"<div><p>Hepatitis is an inflammation of the liver. There had been an outbreak of hepatitis of unknown origin among children, where nine pediatric patients in Alabama, United States of America, tested negative for hepatitis viruses (A, B, C, D, and E) and autoimmune conditions. So far, no case has been recorded in Africa. This article seeks to give guidelines on how to prevent its occurrence in Africa. Various literatures were reviewed on the background of hepatitis of unknown origin while focusing on World Health Organization publication as regards the outbreaks in other European countries. Therefore, it is worthy to state that Africa needs to keep its healthcare systems ready to take care of the mechanism by which the outbreak may occur and protect the vulnerable pediatric population from such an outbreak.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"1 4","pages":"Pages 235-236"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277294782200069X/pdfft?md5=06d4e7f713c5c5fa9ad51f34891faad0&pid=1-s2.0-S277294782200069X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73826447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Establishment of a risk assessment system for complications of hepatectomy based on preoperative variables 基于术前变量的肝切除术并发症风险评估体系的建立
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.09.004
Lining Xu , Guiping Li , Bo Yang
{"title":"Establishment of a risk assessment system for complications of hepatectomy based on preoperative variables","authors":"Lining Xu ,&nbsp;Guiping Li ,&nbsp;Bo Yang","doi":"10.1016/j.iliver.2022.09.004","DOIUrl":"10.1016/j.iliver.2022.09.004","url":null,"abstract":"<div><h3>Background and aims</h3><p>To reduce the incidence of postoperative complications, it is important to predict them and intervene before surgery if necessary. However, there is no ideal system to evaluate the overall risk of postoperative complications of liver surgery on the basis of preoperative variables. Therefore, this study aimed to design and validate a risk assessment system to predict postoperative complications of hepatectomy on the basis of preoperative variables.</p></div><div><h3>Methods</h3><p>Binomial logistic regression was used to derive the “hepatectomy overall risk formula” (HORF) for predicting postoperative complications on the basis of preoperative variables.</p></div><div><h3>Results</h3><p>Multivariate analysis revealed that Child–Pugh grade B–C (odds ratio [OR] = 1.984, <em>p</em> = 0.002), medical diseases requiring drug treatment (OR = 1.883, <em>p</em> = 0.003), major hepatectomy (OR = 1.947, <em>p</em> &lt; 0.001), adjacent organ invasion (OR = 3.616, <em>p</em> = 0.023), and preoperative hospital stay &gt;7 days (OR = 1.565, <em>p</em> = 0.004) were independent risk factors for postoperative complications of hepatectomy. The area under the curve for the HORF was 0.736. The optimal cut-off value for predicting complications was 0.32 (32%). The area under the curve for the HORF in the validation dataset was 0.727.</p></div><div><h3>Conclusion</h3><p>The HORF can accurately predict postoperative complications of hepatectomy on the basis of preoperative variables, and thus enables the determination of the necessity for intervention before surgery.</p></div>","PeriodicalId":100657,"journal":{"name":"iLIVER","volume":"1 4","pages":"Pages 217-224"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772947822000676/pdfft?md5=e32c690b5681fc58beb1e4c4f58f7a1b&pid=1-s2.0-S2772947822000676-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87132244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence-based ultrasound imaging technologies for hepatic diseases 基于人工智能的肝病超声成像技术
iLIVER Pub Date : 2022-12-01 DOI: 10.1016/j.iliver.2022.11.001
Longfei Ma , Rui Wang , Qiong He , Lijie Huang , Xingyue Wei , Xu Lu , Yanan Du , Jianwen Luo , Hongen Liao
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引用次数: 2
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