Preoperative assessment of postoperative liver function: The importance of residual liver volume

被引:62
作者
Pulitano, Carlo [1 ]
Crawford, Michael [1 ]
Joseph, David [1 ]
Aldrighetti, Luca [2 ]
Sandroussi, Charbel [1 ]
机构
[1] Royal Prince Alfred Hosp, Dept Hepatobiliary & Upper Gastrointestinal Surg, Sydney, NSW 2050, Australia
[2] Univ Vita Salute San Raffaele, Dept Surg, Hepatobiliary Surg Unit, Milan, Italy
关键词
liver surgery; residual liver volume; hepatectomy; liver function; PORTAL-VEIN EMBOLIZATION; INDOCYANINE GREEN EXCRETION; REMNANT LIVER; HEPATIC RESECTION; HEPATOCELLULAR-CARCINOMA; HEPATOBILIARY SCINTIGRAPHY; COMPUTED-TOMOGRAPHY; MAJOR HEPATECTOMY; DECISION-MAKING; METASTASES;
D O I
10.1002/jso.23671
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
An inadequate volume of future liver remnant (FLR) remains an absolute contraindication to liver resection. FLR measurement correlates with surgical outcome and is fundamental to identify those patients that may benefit from portal vein embolization (PVE) and to assess the liver volume change following embolization. In order to minimize the risk of postoperative liver failure, preoperative analysis of FLR must be included in the surgical planning of every major liver resection. The aims of this review are to describe the use of preoperative volumetric analysis in modern liver surgery and indications for PVE. J. Surg. Oncol. 2014; 110:445-450. (c) 2014 Wiley Periodicals, Inc.
引用
收藏
页码:445 / 450
页数:6
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