Department of Hepatobiliary and Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
J Surg Oncol. 2014 Sep;110(4):445-50. doi: 10.1002/jso.23671. Epub 2014 Jun 24.
An inadequate volume of future liver remnant (FLR) remains an absolute contraindication to liver resection. FLR measurement correlates with surgical outcome and is fundamental to identify those patients that may benefit from portal vein embolization (PVE) and to assess the liver volume change following embolization. In order to minimize the risk of postoperative liver failure, preoperative analysis of FLR must be included in the surgical planning of every major liver resection. The aims of this review are to describe the use of preoperative volumetric analysis in modern liver surgery and indications for PVE.
未来肝剩余量（FLR）不足仍然是肝切除术的绝对禁忌。FLR 测量与手术结果相关，是确定那些可能受益于门静脉栓塞术（PVE）的患者并评估栓塞后肝体积变化的基础。为了最大限度地降低术后肝功能衰竭的风险，必须将 FLR 的术前分析纳入每一次重大肝切除术的手术计划中。本文的目的是描述术前容积分析在现代肝外科中的应用和 PVE 的适应证。
