Assessment of safety in hepatic resection focusing on indirect hyperbilirubinemia

Objective To investigate the clinical value of indirect bilirubin in the safety assessment of liver resection.Methods Through retrospective analysis 73 patients of hepatocellular carcinoma with cirrhosis underwent hepatic resection in our hospital from January 2003 to December 2013,the clinical indicators of total bilirubin of normal level(22 cases)and total bilirubin more than 19 μmol / L direct bilirubin less than 8. 5 μmol / L in patients(51 cases) were analyzed,hepatic failure incidence of the two groups after hepatectomy were analyzed. Results The prothrombin time,serum albumin,operation time,intraoperative bleeding were similar in the two groups(P 0. 05). There were no significant differences in hepatic failure incidence of the two groups(P 0. 05). Conclusion High total bilirubin and low direct bilirubin in patients have the same security of hepatic resection with normal bilirubin in patients.