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肝切除术后肝功能衰竭风险预测模型研究进展

许淙溪 王继涛 刘登湘 郭军 魏家豪

中国普通外科杂志2024,Vol.33Issue(1):100-107,8.
中国普通外科杂志2024,Vol.33Issue(1):100-107,8.DOI:10.7659/j.issn.1005-6947.2024.01.011

肝切除术后肝功能衰竭风险预测模型研究进展

Research progress of risk prediction models for post-hepatectomy liver failure

许淙溪 1王继涛 2刘登湘 1郭军 3魏家豪4

作者信息

  • 1. 河北省邢台市人民医院肿瘤内科,河北邢台 054000||河北省肝硬化与门静脉高压重点实验室,河北邢台 054000
  • 2. 河北省邢台市人民医院肝胆外科,河北邢台 054000||河北省肝硬化与门静脉高压重点实验室,河北邢台 054000
  • 3. 河北省邢台市人民医院肿瘤内科,河北邢台 054000
  • 4. 承德医学院研究生学院,河北 承德 067000
  • 折叠

摘要

Abstract

Hepatocellular carcinoma(HCC)is the most common primary liver cancer and ranks among the most prevalent and highly lethal cancers worldwide.Radical hepatectomy remains one of the most effective treatment methods for early and some intermediate to advanced stages of HCC.Complications during the perioperative period of liver resection are critical factors affecting the long-term and short-term prognosis of HCC patients,with post-hepatectomy liver failure(PHLF)being a common complication after liver resection.PHLF is a major cause of perioperative death in liver resection patients,and the timely identification of patients with high-risk PHLF before surgery is a pressing clinical issue and research focus.Traditional methods of liver function assessment are widely used and can distinguish high-risk PHLF patients,but their predictive accuracy is relatively low.In recent years,with the development of artificial intelligence technology,an increasing number of advanced algorithms and models incorporating more comprehensive risk factors have been applied in the field of PHLF prediction.Scholars both in China and abroad have constructed new PHLF-related prediction models through various statistical methods,confirming a significant improvement in the accuracy of these models.After an extensive literature review,the authors summarize the relevant literature on PHLF risk prediction models,providing a comprehensive overview of the research progress,so as to facilitate clinicians and researchers in gaining a more comprehensive understanding of various types of PHLF prediction models.

关键词

癌,肝细胞/肝切除术/肝功能衰竭/综述

Key words

Carcinoma,Hepatocellular/Hepatectomy/Liver Failure/Review

分类

医药卫生

引用本文复制引用

许淙溪,王继涛,刘登湘,郭军,魏家豪..肝切除术后肝功能衰竭风险预测模型研究进展[J].中国普通外科杂志,2024,33(1):100-107,8.

基金项目

河北省自然科学基金资助项目(H2022108003). (H2022108003)

中国普通外科杂志

OA北大核心CSTPCD

1005-6947

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