Establishing the Minimum Future Liver Remnant Volume for Safe Hepatectomy

Key Points

Grade 4/5 post-hepatectomy liver failure (PHLF) showed a close correlation with future liver remnant volume (FLRV), indicating its significance.
The study identified a critical safe resection limit tied to liver remnant quality, necessitating over 30% normal and 50% insufficiently functioning liver.
A significant portion—50%—of severe morbidity was found unrelated to PHLF and unlinked to FLRV, suggesting other risk factors are in play.
Implications highlight the need for careful evaluation of liver remnant quality in surgical procedures, ensuring safety in hepatectomy.

Abstract

There was a close correlation between grade 4/5 PHLF-related morbidity and FLRV%, but the safe limit of resection was dependent on the liver remnant quality (>30% NL, >50% IL). By contrast, 50% of all grade 4/5 morbidity was unrelated to PHLF and not influenced by FLRV%.

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Establishing the Minimum Future Liver Remnant Volume for Safe Hepatectomy

Key Points

Abstract

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