4.1 Article

The Future Liver Remnant Definition, Evaluation, and Management

Journal

AMERICAN SURGEON
Volume 87, Issue 2, Pages 276-286

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0003134820951451

Keywords

hepatectomy; future liver remnant; portal vein embolization

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When considering major hepatectomy for patients, it is important to carefully assess the volume of liver remaining and the potential need for additional procedures. This review focuses on the optimal future liver remnant volume, techniques for increasing this volume, evaluating growth parameters, and managing insufficient growth of the future liver remnant.
When considering patients for a major hepatectomy, one must carefully consider the volume of liver to be left behind and if additional procedures are necessary to augment its volume. This review considers the optimal volume of the future liver remnant (FLR) and analyzes the techniques of augmenting this volume, the various growth parameters to assess adequate growth of the FLR, as well as further management when there has been inadequate growth of the FLR.

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