Changes in serum amylase level following hepatic resection in XXXX .

@entity1 @entity788 @entity96 @entity190 @entity409 @entity432 @entity12828
OBJECTIVE: Factors that were likely to cause @entity12828 following hepatic resection were studied. DESIGN: Case-comparison study. SETTING: Institutional practice. @entity1 : Seventy-one @entity1 who underwent hepatic resection because of primary or secondary @entity96 and other benign disease, and who had no history of @entity788 , were divided into four groups. @entity1 were divided into groups according to the presence or absence of underlying @entity409 and the @entity432 methods used during hepatic resection (Pringle maneuver or the hemihepatic @entity432 technique). The Pringle maneuver was chosen for @entity1 in whom the duration of liver parenchymal transection was expected to be short and/or the hepatic hilum had severe adhesion precluding the safe dissection of the hepatic artery and portal vein. MAIN OUTCOME MEASURES: Serum amylase levels were measured on the preoperative day and on postoperative days 1, 2, 4, 6, 7, 10, and 14. Preoperative liver function, operative @entity190 , operative time, and @entity432 time were examined. RESULTS: @entity1 with @entity409 (CLD group) had high serum amylase levels during the preoperative and postoperative periods. @entity1 in the CLD group who underwent the Pringle maneuver (Pringle-L group) had significantly elevated postoperative serum amylase levels in comparison with their preoperative serum amylase levels. @entity788 developed in two @entity1 in the Pringle-L group--one of them died. CONCLUSION: These results strongly suggest that prolonged complete occlusion of the portal vein for hepatectomy in @entity1 with @entity409 has a serious influence on postoperative serum amylase levels.
