The changes of nutrition assessment indices in
patients underwent liver resection

Jung, Bo Moon; Kim, Sung Hoon; Ji, Eun Ju; Lee, Ho Sun; Lee, Jae Gil; Kim, Kyung Sik; Kim, Choong Bai

doi:2011.7.2.108

Korean Journal of Clinical Oncology > Article

Original Article

Korean Journal of Clinical Oncology 2011;7(2): 108-113.

간 절제 수술 전후 영양 지표의 변화

정보문¹, 김성훈¹, 지은주^3,4, 이호선^2,5, 이재길^1,2, 김경식^1,2,3, 김충배^1,2

¹연세대학교 의과대학 외과학교실
²연세대학교 의과대학 세브란스 병원 NST
³연세대학교 의과대학 간암 전문클리닉
⁴연세대학교 의과대학 간호팀
⁵연세대학교 의과대학 영양팀

The changes of nutrition assessment indices in patients underwent liver resection

Bo Moon Jung¹, Sung Hoon Kim¹, Eun Ju Ji^3,4, Ho Sun Lee^2,5, Jae Gil Lee^1,2, Kyung Sik Kim^1,2,3, Choong Bai Kim^1,2

¹Department of Surgery, Yonsei University Health System
²Nutritional Support Team, Yonsei University Health System
³Liver Cancer Clinic, Yonsei University Health System
⁴Division of Nursing, Yonsei University Health System
⁵Nutritional Team, Yonsei University Health System

Corresponding Author: Kyung Sik Kim ,Tel: +82-2-2228-2125, Fax: +82-2-313-8289, Email: kskim88@yuhs.ac

Received: September 23, 2011; Accepted: October 20, 2011.

ABSTRACT

Purpose : Most of patients with hepatocellular carcinoma (HCC) have underlying liver cirrhosis. Liver cirrhosis is frequently associated with malnutrition. Malnutrition influences the outcomes after liver resection. . The aim of this study is to investigate the change of the various nutritional indices after liver resection. Materials and Methods : We performed a prospective study in 39 patients with HCC and measured the anthropometric indices and biochemical parameters before and 3 months after liver resection. Results : There were 26 male and 13 female. The mean age was 52.9 years old in male, 52.8 years old in female. According to the extent of liver resection, the all biochemical parameters except glucose and fat free mass showed a significant change in minor resection group. All biochemical parameters and anthropometric indices except triceps skinfold thickness showed a significant change in major resection group. The biochemical parameters showed a more significant change than that of anthropometric indices in patients with good residual liver function regardless of the extent of live resection. However, all nutritional assessment indices could not showed a significant change in patients with poor residual liver function. Conclusion : The biochemical parameters are more informative than the anthropometric indices in patients with good residual liver function underwent hepatectomy for nutritional assessments. The further study for correlation improvement of the biochemical parameters and improvement of nutrition status should be needed. The largescale study may be needed to assess the superiority of any nutritional assessment indices in patients with poor residual liver function.

Keywords: Liver cancer | liver resection | nutritional index