Preoperative Liver Function Score Predicts Outcomes in Cancer Resection

High baseline liver function scores predict worse long-term survival in biliary tract cancer surgery.

In a study of 616 patients, high APRI+ALBI scores correlated with median overall survival of 39.8 months vs. 62.9 months for low scores.
The high score group also faced more complications and a 90-day mortality rate linked to major hepatectomy and advanced disease.

Understanding a patient’s baseline liver function can guide surgical decision-making and improve risk stratification.

This score remained an independent predictor of outcomes even after adjusting for various factors.

Journal Article by Dong Y, Li Z (…) Starlinger P et 6 al. in Ann Surg Oncol

read the whole article in Ann Surg Oncol

open it in PubMed

Summaries are written to help you decide what to read. They do not replace the full paper.

Free · 5 minutes a day

Get every new paper in HPB & Spleen.

Plus the Daily Selection: the five most relevant papers of the day, each cut to its key points.

The latest stitches

HPB & Spleen3 Nov 2026

Liver cancer drugs around surgery remain unproven

Drugs given around liver cancer surgery have mostly failed, but one recent trial showed a real benefit.

Ann Surg Oncol2 Nov 2026

Pancreatic ductoscopy guides tissue preservation

In two older patients having robotic surgery for a pancreatic growth, ductoscopy and checks of the cut edge let surgeons leave the remaining pancreas in place.

HPB & Spleen30 Oct 2026

Intrahepatic cholangiocarcinoma has more options

Resection remains central, but care now includes preoperative therapy, liver-directed treatments and drugs matched to tumor changes.

All papers in HPB & Spleen →