Division of Surgical Oncology, Department of Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Department of Radiology, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Am Surg. 2021 Feb;87(2):276-286. doi: 10.1177/0003134820951451. Epub 2020 Sep 15.
When considering patients for a major hepatectomy, one must carefully consider the volume of liver to be left behind and if additional procedures are necessary to augment its volume. This review considers the optimal volume of the future liver remnant (FLR) and analyzes the techniques of augmenting this volume, the various growth parameters to assess adequate growth of the FLR, as well as further management when there has been inadequate growth of the FLR.
在考虑为患者进行大肝切除术时，必须仔细考虑要留下的肝体积，以及是否需要额外的手术来增加其体积。本综述考虑了未来肝残留（FLR）的最佳体积，并分析了增加该体积的技术、评估 FLR 充分生长的各种生长参数，以及在 FLR 生长不足时的进一步管理。
