Navigating Hepatectomy: New Standards for Liver Remnant Volume

A study identifies critical thresholds for future liver remnant volume (FLRV) to reduce post-hepatectomy liver failure in cancer patients.

  • FLRV of ≥30% in normal livers and ≥50% in impaired livers reduces the risk of severe morbidity.
  • For every 10% increase in FLRV, the odds of severe liver failure-related complications decrease by nearly 40%.

Focus on maintaining these thresholds in surgical planning to improve patient outcomes.

  • 51% overall morbidity was noted, with 3.2% experiencing grade 4/5 complications; half of these were unrelated to liver failure.

Journal Article by Steinharter JA, Chou J (…) Jarnagin WR et 7 al. in J Am Coll Surg

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