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간암 환자에서 간절제술 시행 후 초기 회복기간 중 이용할 수 있는 적합한 영양상태 평가 지표

Other Titles
 What is an optimal nutritional index for hepatocellular carcinoma during early perioperative period after hepatic resection? 
 김상화  ;  임진홍  ;  김성훈  ;  이수지  ;  이호선  ;  이재길  ;  김충배  ;  김경식 
 Korean Journal of Clinical Oncology (대한임상종양학회지), Vol.8(2) : 10-15, 2012 
Journal Title
 Korean Journal of Clinical Oncology (대한임상종양학회지) 
Issue Date
간절제 ; 영양평가 ; 영양지표 ; 프리알부민 ; Hepatectomy ; Nutritional assessment ; Nutritional index ; Prealbumin
After hepatic resection, a synthetic liver function is often deteriorated, and ascites have been occasionally developed. Because of these limitations, this study is designed to validate the optimal nutritional index. We retrospectively reviewed medical records of sixty-five patients who underwent hepatectomy for hepatocellular carcinoma. Body weight, Body Mass Index (BMI) and laboratory parameters were compared at preoperative day and postoperative day 7. Patients consist of fifty-two males and thirteen females and average age is 56.2±9.9 years old. Forty-four patients had resected more than three segments, and twelve had resected 2 segments and nine had resected only one segment or received a wedge resection. According to preoperative BMI, there were two underweight (BMI < 18.5), twenty-two normal, nineteen overweight, and twenty-two obese (BMI>=27.5). After the surgery, lymphocyte count, total protein, albumin, BUN, Cholesterol, Prealbumin statistically significantly increased (p=0.00 & p=0.00). However, BMI and change in Body weight do not show statistically significant data (p=1.91, p=8.23). The degree of inflammation may have a significant influence in nutrition evaluation scale. Therefore, a new method of nutritional evaluation that can adjust degree of inflammation is needed to accurately evaluate the nutrition scale after hepatectomy.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Choong Bai(김충배)
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Lim, Jin Hong(임진홍)
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