Preoperative volumetric and functional evaluation for hepatic resection in a cirrhotic liver

Abstract EN

Twenty three cirrhotic patients who underwent hepatic resection for hepatocellular carcinoma (HCC) between January 1996 and August 1999 at the National Cancer Institute of Cairo University (NCI) were submitted to preoperative volumetric evaluation of their tumor, resected liver and preserved liver.

They were also assessed by the modified child (Pugh and Paul Brousse) scoring systems.

Sixteen patients with child class A underwent less than 50 % resection of their liver and 7 patients with child class B underwent less than 25 % resection of their liver.

Only one early postoperative mortality was recorded (4.4 %) and the rate of postoperative complications was 60.9 %.

The intraoperative blood loss, intensive care and overall hospital stay were also evaluated.

The estimation of parenchymal hepatic resection rate (PHRR) by volumetric and functional assessment proved to be an efficient tool for achieving safe hepatic resection in cirrhotic patients.