Department of Hepatobiliary and Upper Gastrointestinal Surgery, The Queen Elizabeth Hospital, Adelaide, SA 5011, Australia.
Dig Liver Dis. 2009 Nov;41(11):798-806. doi: 10.1016/j.dld.2009.01.015. Epub 2009 Mar 19.
Pre-operative determination of the risk of liver dysfunction has come under criticism with regards to its usefulness in clinical practice. Opinion is split between centres which use such tests uniformly on all patients and those where clinical judgment alone is used. Published data would not suggest any difference in mortality, morbidity or liver failure rates between these groups. This review outlines and presents the evidence for pre-operative quantification of functional liver remnant volume.
术前肝功能障碍风险的评估在临床实践中的作用受到了批评。一些中心在所有患者中都统一使用这些检查，而另一些中心则仅依靠临床判断。已发表的数据并未表明这些组之间在死亡率、发病率或肝功能衰竭率方面存在差异。本综述概述并介绍了术前定量评估功能性肝剩余体积的证据。
