title: [Surgical risks for patients with hepatolithiasis undergoing hepatectomy].
abstract: OBJECTIVE
  To evaluate the risk of hepatectomy by detecting liver functional reserve preoperatively for patients with primary hepatolithiasis.
  
  
  METHODS
  The clinical data of 134 patients with primary hepatolithiasis who underwent hepatectomy were reviewed. In terms of evaluation methods for preoperative liver functional reserve they were divided into a Child-Pugh group (group CP) and an indocyanine green group (group ICG). The preoperative and intraoperative parameters, and the incidence of postoperative complications were analyzed.
  
  
  RESULTS
  Liver failure was more common in group CP (12.85%) than that in group ICG (1.56%, P<0.05). The overall complication rate in group CP (37.14%) was higher than in group ICG (18.75%, P<0.05).
  
  
  CONCLUSIONS
  ICG15 retention test is more accurate in evaluating liver functional reserve than Child-Pugh scoring system. It may predict the postoperative liver failure in patients with primary hepatolithiasis undergoing hepatectomy, decrease postoperative complications, and increase operation safety.
authors.affiliation: Department of General Surgery, Third Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Xu
authors.forename: Zuhai
authors.initials: Z
authors.lastname: Ren
authors.forename: Shaihong
authors.initials: S
authors.lastname: Zhu
mesh_terms: D000328:Adult; D001649:Bile Duct Diseases / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D017093:Liver Failure / Q000209:etiology / Q000517:prevention & control*; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care; D012189:Retrospective Studies; D012307:Risk Factors