Table 1. Patient characteristics. Plasma samples were collected from 40 consecutive patients (Pt.) that were scheduled for a resection of 3 or more Couinaud liver segments [19]. As the decision to use vascular inflow occlusion and thus induce ischemia/reperfusion (I/R) injury was made during surgery on the basis of the operative course, patients were non-randomly assigned to either the I/R group (N = 27) or the control group (N = 13). The cumulative ischemia time was reached by continuous (-c) or intermittent (-i) occlusion of the afferent hepatic blood vessels [21].
Pt. | Gender | Age | Diagnosis | I/R | Cumulative ischemia time [min] | Resected segments [Couinaud] |
---|---|---|---|---|---|---|
1 | M | 46 | Perihilar cholangiocarcinoma | Yes | 50-i | I − IV |
2 | F | 57 | Perihilar cholangiocarcinoma | No | - | II − IV |
3 | F | 49 | Hepatocellular adenoma | Yes | 50-i | V − VIII |
4 | M | 57 | Perihilar cholangiocarcinoma | Yes | 50-i | I + V – VIII + part IV |
5 | F | 65 | Proximal cholangiocarcinoma | Yes | 43-i | I − IV |
6 | M | 69 | Intrahepatic cholangiocarcinoma | Yes | 56-i | I − IV |
7 | F | 67 | Perihilar cholangiocarcinoma | Yes | 20-c | I − IV |
8 | M | 26 | Metastasized melanoma | Yes | 65-i | I − IV |
9 | F | 33 | Focal nodular hyperplasia | No | - | II − IV |
10 | M | 65 | Colorectal liver metastases | Yes | 40-c | VII − VIII* |
11 | M | 62 | Chronic sclerosing cholangitis | No | - | II − IV |
12 | M | 53 | Hepatocellular carcinoma | No | - | II − IV |
13 | M | 70 | Perihilar cholangiocarcinoma | Yes | 42-i | V − VIII |
14 | M | 58 | Hepatocellular carcinoma | No | - | V − VIII |
15 | M | 63 | Colorectal liver metastases | Yes | 120-i | II − IV + wedge IV + VII |
16 | F | 75 | Intrahepatic cholangiocarcinoma | No | - | I − IV |
17 | M | 71 | Perihilar cholangiocarcinoma | No | - | I + V − VIII + part IV |
18 | F | 46 | Hepatocellular adenoma | Yes | 52-c | II + V + part VIII |
19 | M | 56 | Colorectal liver metastases | Yes | 76-i | V − VIII |
20 | M | 76 | Perihilar cholangiocarcinoma | Yes | 39-i | I − IV |
21 | F | 71 | Chronic/recurring cholangitis | Yes | 24-c | V − VIII |
22 | M | 68 | Intrahepatic cholangiocarcinoma | Yes | 26-i | II − IV |
23 | F | 72 | Perihilar cholangiocarcinoma | Yes | 68-i | I − IV |
24 | M | 18 | Hepatoblastoma | No | - | II − IV |
25 | M | 68 | Hepatocellular carcinoma | Yes | 93-i | I − IV + part VIII |
26 | M | 46 | Perihilar cholangiocarcinoma | Yes | 68-i | V − VIII |
27 | F | 63 | Intrahepatic cholangiocarcinoma | No | - | I − IV |
28 | M | 36 | Chronic/recurring cholangitis | No | - | II − IV |
29 | M | 70 | Colorectal liver metastases | Yes | 46-i | V − VIII + part IV |
30 | M | 67 | Perihilar cholangiocarcinoma | Yes | 20-c | V − VIII |
31 | M | 66 | Hepatocellular carcinoma | Yes | 72-i | VII − VIII + I |
32 | F | 54 | Hepatocellular carcinoma | Yes | 43-i | II − IV |
33 | F | 76 | Intrahepatic cholangiocarcinoma | Yes | 33-c | II − IV |
34 | F | 70 | Perihilar cholangiocarcinoma | No | - | I − IV |
35 | M | 78 | Perihilar cholangiocarcinoma | Yes | 30-c | V − VIII + I |
36 | M | 65 | Colorectal liver metastases | No | - | V − VIII |
37 | M | 75 | Epithelioid hemangioendothelioma | No | - | V − VIII |
38 | M | 66 | Perihilar cholangiocarcinoma | Yes | 68-i | I − IV |
39 | M | 43 | Perihilar cholangiocarcinoma | Yes | 25-c | V – VIII + I |
40 | M | 65 | Colorectal liver metastases | Yes | 68-i | I – IV + wedges V/VI/VIII |
* Patient 10 had a segment VII-VIII resection of colorectal liver metastases. Although less than 3 segments were resected, the patient was included in the analysis because the 40 min of continuous ischemia used during surgery likely induced substantial I/R injury.