The Ability of the Albumin-Bilirubin Grade to Predict the Short-Term Outcomes & Complications Following Hepatic Resection
Salah, E., Marwan, I., Badawy, M., El Disoki, A., Sallam, A. (2025). The Ability of the Albumin-Bilirubin Grade to Predict the Short-Term Outcomes & Complications Following Hepatic Resection. EKB Journal Management System, 44(1), 91-97. doi: 10.21608/ejsur.2024.306158.1130
Essam M. Salah; Ibrahim K. Marwan; Mohammad T. Badawy; Amr I. El Disoki; Ahmed N. Sallam. "The Ability of the Albumin-Bilirubin Grade to Predict the Short-Term Outcomes & Complications Following Hepatic Resection". EKB Journal Management System, 44, 1, 2025, 91-97. doi: 10.21608/ejsur.2024.306158.1130
Salah, E., Marwan, I., Badawy, M., El Disoki, A., Sallam, A. (2025). 'The Ability of the Albumin-Bilirubin Grade to Predict the Short-Term Outcomes & Complications Following Hepatic Resection', EKB Journal Management System, 44(1), pp. 91-97. doi: 10.21608/ejsur.2024.306158.1130
Salah, E., Marwan, I., Badawy, M., El Disoki, A., Sallam, A. The Ability of the Albumin-Bilirubin Grade to Predict the Short-Term Outcomes & Complications Following Hepatic Resection. EKB Journal Management System, 2025; 44(1): 91-97. doi: 10.21608/ejsur.2024.306158.1130

The Ability of the Albumin-Bilirubin Grade to Predict the Short-Term Outcomes & Complications Following Hepatic Resection

The Egyptian Journal of Surgery
Volume 44, Issue 1, January 2025, Page 91-97  XML PDF (339.45 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2024.306158.1130
View on SCiNiTO View on SCiNiTO
Authors
Essam M. Salah; Ibrahim K. Marwan; Mohammad T. Badawy; Amr I. El Disoki email ; Ahmed N. Sallam
Department of Hepatobiliary and Pancreatic Surgery, National Liver Institute, Menoufia University, Menofia, Egypt.
Abstract
Background: Hepatocellular carcinoma (HCC) is the 2nd leading cause of cancer-associated mortality globally.
Aim: To evaluate the albumin-bilirubin (ALBI) grade as a prognostic tool in assessing cases undergoing hepatectomy for early post-operative complications in comparison to other scores/grades.
Patients and methods: This prospective research has been performed on 42 cases with HCC that were subjected to elective hepatic resection at the National Liver Institute at Menoufia University.
Results: The ALBI score had 66.7% sensitivity and 93.9% specificity at a threshold value of > 2 with AUC = 0.825 and was highly significant (P = 0.001). The CHILD score had a 55.6% sensitivity and 75.8% specificity at a threshold value of > 5% with AUC = 0.640 and was non-significant (p = 0.136). The model for end-stage liver disease (MELD) score at a threshold value 8.35 had 100% sensitivity and 21.2% specificity, with AUC = 0.519, and was non-significant (P = 0.868).
Conclusion: The albumin-bilirubin score demonstrated greater predictive value for liver cell failure compared with the Child-Pugh score as well as the model for end-stage liver disease score. The ALBI score, as well as bilirubin can be used as independent predictors for liver cell failure and bile leak post-hepatic resection in HCC patients.
Keywords
HCC; ALBI score; hepatic resection; MELD score
Statistics
Article View: 118
PDF Download: 70