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