[Measurement of liver volume and its clinical significance in cirrhotic patients].
OBJECTIVE
To evaluate whether, preoperative measurement of liver volume is of value to the evaluation of tolerance to operation and long-term prognosis in cirrhotic patients with portal hypertension.


METHODS
We assessed liver volume in 18 cirrhotics and 31 noncirrhotic controls with 3-dimensional shaded surface display by CT twin.


RESULTS
The liver volume in controls was positively correlated to the height (r = 0.42, P < 0.05). The average of liver volume in controls was (1 070.68 +/- 227.52) cm(3) and was different from that of cirrhotics (797.02 +/- 135.11) cm(3) (P < 0.05). Liver volume of cirrhotic patients with portal hypertension was related to their Child classification. The liver volume of patients in Child C group was significantly smaller than that of patients of Child B group.


CONCLUSIONS
The patients with smaller liver volume are likely complicated by encephalopathy after shunting procedure. However, the liver volume is not significantly correlated with portal blood flux and portosystemic shunt index.
Zhu
J
J
Department of Surgery, People's Hospital, Beijing Medical University, Beijing 100044.
Leng
X
X
Dong
N
N
Qi
G
G
Du
R
R
D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology* / Q000601:surgery; D008099:Liver / Q000000981:diagnostic imaging* / Q000473:pathology; D008103:Liver Cirrhosis / Q000150:complications / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010991:Plethysmography; D011167:Portacaval Shunt, Surgical; D012189:Retrospective Studies; D036542:Tomography, Spiral Computed