Table 1 Baseline characteristics of the patients.
Variables | Training cohort (n = 312) | Validation cohort (n = 93) | Prospective cohort (n = 62) | P-value |
---|---|---|---|---|
Demographics | ||||
PHLF | ||||
Yes | 80 (25.64%) | 23 (24.73%) | 16 (25.81%) | 0.978 |
No | 232 (74.36%) | 70 (75.27%) | 46 (74.19%) | |
Gender | ||||
Male | 258 (82.69%) | 74 (79.57%) | 56 (90.30%) | 0.135 |
Female | 54 (17.31%) | 19 (20.43%) | 6 (9.70%) | |
Age, years | 56.36 ± 8.93 | 57.06 ± 8.95 | 56.82 ± 9.33 | 0.711 |
BMI, kg/m2 | 23.40 (4.30) | 23.10 (3.95) | 23.50 (4.35) | 0.506 |
Complication | ||||
HBsAg | 228 (73.07%) | 67 (72.04%) | 41 (66.10%) | 0.266 |
Anti-HCV | 43 (13.78%) | 13 (13.98%) | 13 (21.00%) | 0.148 |
Hypertension | ||||
Yes | 41 (13.14%) | 10 (10.75%) | 5 (8.06%) | 0.266 |
No | 271 (86.86%) | 83 (89.25%) | 57 (91.94%) | |
Diabetes | ||||
Yes | 21 (6.73%) | 3 (3.23%) | 4 (6.45%) | 0.999 |
No | 291 (93.27%) | 90 (96.77%) | 58 (93.55%) | |
CSPH | ||||
Yes | 48 (15.38%) | 20 (21.51%) | 12 (19.35%) | 0.437 |
No | 264 (84.62%) | 73 (78.49%) | 52 (80.65%) | |
Imaging data | ||||
Liver cirrhosis | ||||
Yes | 274 (87.82%) | 81 (87.10%) | 53 (85.48%) | 0.612 |
No | 38 (12.18%) | 12 (12.90%) | 9 (14.52%) | |
Ascites | ||||
Yes | 194 (62.18%) | 55 (59.14%) | 32 (51.61%) | 0.120 |
No | 118(37.82%) | 38 (40.86%) | 30 (48.39%) | |
Tumor size, cm | 3.40 (0.90) | 3.40 (1.25) | 3.55 (1.33) | 0.159 |
Tumor number | ||||
Multiple | 184 (58.97%) | 52 (55.91%) | 36 (58.06%) | 0.894 |
Single | 128 (41.03%) | 41 (44.09%) | 26 (41.94%) | |
Preoperative laboratory tests | ||||
ALT, U/L | 35.50 (31.00) | 35.00 (33.00) | 36.00 (30.75) | 0.265 |
AST, U/L | 33.50 (24.00) | 34.00 (26.00) | 33.00 (28.50) | 0.528 |
AAR | 0.96 (0.51) | 1.07 (0.55) | 0.91 (0.44) | 0.142 |
GGT, U/L | 60.00 (72.00) | 69.00 (68.00) | 58.50 (62.25) | 0.772 |
ALB, g/L | 42.00 (5.58) | 42.00 (5.55) | 42.00 (5.40) | 0.560 |
PA, mg/L | 179.00 (67.00) | 179.00 (62.00) | 163.00 (91.00) | 0.478 |
White sphere ratio | 1.49 (0.45) | 1.47 (0.45) | 1.49 (0.46) | 0.755 |
CREA, g/L | 0.71 (0.18) | 0.69 (0.18) | 0.73 (0.23) | 0.531 |
Cholinesterase, IU/L | 6650.00 (3001.00) | 6598.00 (2852.00) | 7271.50 (3905.00) | 0.772 |
ALP, U/L | 98.00 (46.00) | 106.00 (49.00) | 100.50 (46.50) | 0.497 |
TBIL, μmol/L | 14.28 (6.81) | 14.59 (7.13) | 13.68 (5.35) | 0.314 |
FIB, g/L | 2.57 (1.01) | 2.63 (1.00) | 2.54 (1.00) | 0.932 |
INR | 1.03 (0.12) | 1.03 (0.12) | 1.03 (0.13) | 0.470 |
PTA, % | 91.10 (14.85) | 90.00 (16.10) | 86.30 (14.83) | 0.387 |
APTT | 29.20 (5.55) | 28.70 (5.20) | 29.35 (4.35) | 0.473 |
Inflammatory and immune function indicators | ||||
Monocyte, 109/L | 0.34 (0.16) | 0.33 (0.16) | 0.36 (0.18) | 0.128 |
Neutrophil, 109/L | 3.15 (1.65) | 3.03 (1.73) | 3.36 (2.10) | 0.399 |
Lymphocyte, 109/L | 1.54 (0.74) | 1.50 (0.80) | 1.62 (0.62)) | 0.215 |
PLT,109/L | 165.00 (82.00) | 167.00 (86.00) | 174.00 (113.00) | 0.237 |
NLR | 2.09 (1.23) | 1.95 (1.41) | 1.95 (1.71) | 0.827 |
PLR | 101.22 (59.12) | 104.20 (64.43) | 101.57 (60.19) | 0.899 |
LMR | 4.53 (2.48) | 4.78 (2.73) | 4.16 (2.56) | 0.229 |
GLR | 40.14 (50.81) | 43.82 (46.45) | 43.19 (54.63) | 0.725 |
GPR | 0.39 (0.48) | 0.42 (0.46) | 0.36 (0.49) | 0.697 |
AGR | 0.73 (0.79) | 0.58 (0.57) | 0.72 (0.67) | 0.796 |
ALR | 22.82 (22.07) | 22.66 (22.98) | 19.36 (23.15) | 0.934 |
PNI | 49.99 ± 5.14 | 49.75 ± 4.77 | 50.04 ± 4.25 | 0.940 |
Traditional scoring model | ||||
Child–Pugh grade | 0.608 | |||
A | 260 (83.33%) | 85 (91.40%) | 50 (80.60%) | |
B | 52 (16.67%) | 8 (8.60%) | 12 (19.40%) | |
MELD | 2.47 (3.42) | 2.33 (3.48) | 2.34 (3.96) | 0.952 |
APRI | 0.53 (0.50) | 0.49 (0.45) | 0.50 (0.53) | 0.729 |
FIB-4 | 2.12 (1.68) | 2.01 (1.34) | 1.87 (1.81) | 0.495 |
Tumor markers | ||||
AFP, ng/mL, | ||||
≥ 400 | 101 (32.37%) | 32 (34.41%) | 15 (24.19%) | 0.204 |
< 400 | 211 (67.63%) | 61 (65.59%) | 47 (75.81%) | |
CEA, ng/mL | 2.42 (2.09) | 2.39 (2.62) | 2.64 (2.23) | 0.381 |
AFU, U/mL | 30.60 (17.30) | 31.10 (18.90) | 30.69 (16.60) | 0.854 |
Postoperative pathology | ||||
Tumor embolus | ||||
Yes | 30 (9.62%) | 6 (6.45%) | 9 (14.52%) | 0.249 |
No | 282 (90.38%) | 87 (93.55%) | 53 (55.48%) | |
MVI | ||||
Yes | 74 (23.72%) | 21 (22.58%) | 15 (24.19%) | 0.936 |
No | 238 (76.28%) | 72 (77.42%) | 47 (75.81%) | |
Indocyanine green clearance test data | ||||
ICG-R15 | 5.60 (4.90) | 5.90 (5.35) | 6.60 (5.40) | 0.391 |
EHBF, mL/min | 1.01 (0.46) | 1.02 (0.43) | 0.99 (0.36) | 0.500 |
BV, mL | 5.16 (1.78) | 5.23 (2.28) | 5.01 (1.24) | 0.679 |
ICG K, min-1 | 0.19 (0.06) | 0.19 (0.07) | 0.18 (0.06) | 0.276 |
Operative data | ||||
Hepatic portal occlusion time, s | 30.00 (44.00) | 28.00 (44.00) | 29.00 (47.00) | 0.764 |
Operation time, s | 200.00 (100.00) | 186.00 (108.00) | 211.50 (120.00) | 0.522 |
Operation method | ||||
Open | 252 (80.77%) | 76 (81.72%) | 52 (83.87%) | 0.567 |
Laparoscopic | 60 (19.23%) | 17 (18.28%) | 10 (16.13%) | |
Intraoperative blood transfusion | ||||
Yes | 137 (43.91%) | 43 (46.24%) | 33 (53.23%) | 0.856 |
No | 175 (56.09%) | 50 (53.76%) | 29 (46.77%) | |
Intraoperative bleeding, mL | ||||
≥ 400 | 72 (23.08%) | 22 (23.66%) | 16 (25.81%) | 0.644 |
< 400 | 240 (76.92%) | 71 (76.34) | 46 (174.19%) | |
Extent of hepatectomy | ||||
Major | 96 (30.77%) | 32 (34.41%) | 26 (41.94%) | 0.630 |
Minor | 216 (69.23%) | 61 (65.59%) | 36 (58.06%) |