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  1. Home
  2. Future Liver Remnant Volumetry: An E-ahpba International Survey Of Current Practice Among Liver Surgeons.
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  2. Future Liver Remnant Volumetry: An E-ahpba International Survey Of Current Practice Among Liver Surgeons.

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Future liver remnant volumetry: an E-AHPBA international survey of current practice among liver surgeons.

Tim Reese1, Stefan Gilg1, Joris Erdmann2

  • 1Division of Surgery and Oncology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
|March 1, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Liver surgeons widely use future liver remnant (FLR) volumetry for assessing post-hepatectomy liver failure risk. However, significant variations in methods and thresholds indicate a need for standardized guidelines.

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Area of Science:

  • Hepatobiliary Surgery
  • Surgical Oncology
  • Medical Imaging

Background:

  • Accurate assessment of future liver remnant (FLR) is critical for predicting post-hepatectomy liver failure (PHLF).
  • Current practices in FLR volumetry and clinical application require evaluation.

Purpose of the Study:

  • To evaluate current practices of liver surgeons in FLR volumetry.
  • To assess the clinical use of FLR volumetry in predicting PHLF risk.

Main Methods:

  • A cross-sectional survey was conducted among 212 liver surgeons.
  • The survey comprised 40 questions across five sections on FLR volumetry.

Main Results:

  • 90% of surgeons use preoperative FLR volumetry, but methods and safe resection thresholds vary significantly.
  • Volumetry is most used for extended resections; the 20/30/40% rule is not consistently applied.
  • Kinetic growth rate is not widely adopted in clinical decision-making.
  • Conclusions:

    • FLR volumetry is widely used, but substantial variations in application exist.
    • The findings highlight a lack of evidence or established guidelines for optimal FLR volumetry use.