Abstract
In 137 patients with cirrhosis undergoing partial hepatectomy for hepatocellular carcinoma, the relationship of early postoperative hepatic failure to preoperative hepatic function, the extent of hepatectomy, and a blood loss during operation was studied.Thirteen cases developed hepatic failure within one month after operation, in which the preoperative KICGextent of hepatectomy, and blood loss during operation were related to the onset of hepatic failure. The incidence of hepatic failure was high when the preoperative KICG was 0.1 or less, then two or more regions of the liver were resected, and when operative blood loss was 3, 000 ml or more. When all these three factors were scored, the sum was useful as an index for predicting postoperative occurrence of hepatic failure and for determining the surgical indications and techniques.
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