Liver_Decompensation_Risk_after_Hepatectomy_for_Hepatocellular_Carcinoma_HCC v.1

Liver Decompensation Risk after Hepatectomy for Hepatocellular Carcinoma (HCC) predicts risk of liver decompensation after hepatectomy for hepatocellular carcinoma (HCC).

Therese Lindberg

therese.lindberg@cambio.se

@CambioCDS

Predicts risk of liver decompensation after hepatectomy for hepatocellular carcinoma (HCC).

The Liver Decompensation Risk is evaluated based on three paramters: - Portal hypertension: at least F1 esophageal varices (i.e., small and straight) on endoscopy OR platelets <100,000/μL with splenomegaly (>12 cm diameter). - Extension of hepatectomy: Major resection = removal of ≥3 adjacent segments - MELD Score Formula: Low Intermediate* High Portal hypertension: No No / Yes / No Yes Extension of hepatectomy: Minor Major / Minor /Minor Major MELD Score: ≤9 - - >9 - *Intermediate risk: Either Portal hypertension No AND Extension of hepatectomy Major, OR Portal hypertension Yes AND Extension of hepatectomy Minor, OR Portal hypertension No AND Extension of hepatectomy Minor AND MELD Score >9.

1. Citterio D, Facciorusso A, Sposito C, Rota R, Bhoori S, Mazzaferro V. Hierarchic Interaction of Factors Associated With Liver Decompensation After Resection for Hepatocellular Carcinoma. JAMA Surg. 2016;151(9):846-53.

EVALUATION.liver_decompensation_risk_after_hepatectomy_for_hepatocellular_carcinoma_hcc.v0