Future Liver remnant: A challenge in liver resection surgery

Introduction and Objective: The frontiers of liver resection are expanding. Future Liver Remnant; its volume, function and complication have a predictive value in post resection outcome including post resection liver failure. This study is directed to discuss the issues related to future liver remn...

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Autores principales:	S Regmee, TY Tamang, DK Maharjan, SK Shrestha, PB thapa
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Future liver remnant volumetry liver resection Surgery RD1-811
Acceso en línea:	https://doaj.org/article/1b3a1db6e7214ef280be020857e39d1d
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spelling	oai:doaj.org-article:1b3a1db6e7214ef280be020857e39d1d2021-12-05T19:16:33ZFuture Liver remnant: A challenge in liver resection surgery10.3126/jssn.v18i3.153091815-39842392-4772https://doaj.org/article/1b3a1db6e7214ef280be020857e39d1d2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15309https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction and Objective: The frontiers of liver resection are expanding. Future Liver Remnant; its volume, function and complication have a predictive value in post resection outcome including post resection liver failure. This study is directed to discuss the issues related to future liver remnant. Objective: To discuss issues related to Future Liver Remnant in patients planned for major liver resection Materials and Methods: Data of patients admitted for liver resection at Kathmandu Medical College Teaching Hospital, Surgical Unit III with varied diagnosis, were collected prospectively over a period of 1 year. In our non transplant center, Future Liver Remnant was managed with varying methods. Of the 12 liver resections, 3 prototype cases with different FLR issues are discussed in this study. Results: The first case had issue related to the volume of the liver remnant for which she underwent a portal vein ligation followed by resection (after adequate volume increase) in the second surgery. The second case was a Hepatocellular Carcinoma with CTP 8 cirrhosis. Despite adequate liver volume, decision for liver resection was delayed due to possible postoperative decompensation. The third patient was a Hilar cholangiocarcinoma with obstructive jaundice. Biliary decompression (PTBD) was performed. However, inadequate fall in bilirubin caused dilemma for liver resection. Despite the dilemma, all 3 cases underwent liver resection with no postoperative liver failure. Conclusion: Issues related to the volume and function of future liver remnant in patient undergoing liver resection should be adequately addressed by various pre operative, intra operative, and post operative measures. S RegmeeTY TamangDK MaharjanSK ShresthaPB thapaSociety of Surgeons of NepalarticleFuture liver remnantvolumetryliver resectionSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Future liver remnant volumetry liver resection Surgery RD1-811
spellingShingle	Future liver remnant volumetry liver resection Surgery RD1-811 S Regmee TY Tamang DK Maharjan SK Shrestha PB thapa Future Liver remnant: A challenge in liver resection surgery
description	Introduction and Objective: The frontiers of liver resection are expanding. Future Liver Remnant; its volume, function and complication have a predictive value in post resection outcome including post resection liver failure. This study is directed to discuss the issues related to future liver remnant. Objective: To discuss issues related to Future Liver Remnant in patients planned for major liver resection Materials and Methods: Data of patients admitted for liver resection at Kathmandu Medical College Teaching Hospital, Surgical Unit III with varied diagnosis, were collected prospectively over a period of 1 year. In our non transplant center, Future Liver Remnant was managed with varying methods. Of the 12 liver resections, 3 prototype cases with different FLR issues are discussed in this study. Results: The first case had issue related to the volume of the liver remnant for which she underwent a portal vein ligation followed by resection (after adequate volume increase) in the second surgery. The second case was a Hepatocellular Carcinoma with CTP 8 cirrhosis. Despite adequate liver volume, decision for liver resection was delayed due to possible postoperative decompensation. The third patient was a Hilar cholangiocarcinoma with obstructive jaundice. Biliary decompression (PTBD) was performed. However, inadequate fall in bilirubin caused dilemma for liver resection. Despite the dilemma, all 3 cases underwent liver resection with no postoperative liver failure. Conclusion: Issues related to the volume and function of future liver remnant in patient undergoing liver resection should be adequately addressed by various pre operative, intra operative, and post operative measures.
format	article
author	S Regmee TY Tamang DK Maharjan SK Shrestha PB thapa
author_facet	S Regmee TY Tamang DK Maharjan SK Shrestha PB thapa
author_sort	S Regmee
title	Future Liver remnant: A challenge in liver resection surgery
title_short	Future Liver remnant: A challenge in liver resection surgery
title_full	Future Liver remnant: A challenge in liver resection surgery
title_fullStr	Future Liver remnant: A challenge in liver resection surgery
title_full_unstemmed	Future Liver remnant: A challenge in liver resection surgery
title_sort	future liver remnant: a challenge in liver resection surgery
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/1b3a1db6e7214ef280be020857e39d1d
work_keys_str_mv	AT sregmee futureliverremnantachallengeinliverresectionsurgery AT tytamang futureliverremnantachallengeinliverresectionsurgery AT dkmaharjan futureliverremnantachallengeinliverresectionsurgery AT skshrestha futureliverremnantachallengeinliverresectionsurgery AT pbthapa futureliverremnantachallengeinliverresectionsurgery
_version_	1718371048729083904

Future Liver remnant: A challenge in liver resection surgery

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