title: Preoperative Assessment and Optimization of the Future Liver Remnant.
abstract: Liver resection of benign, primary, and metastatic tumors is challenging and places patients at risk for postoperative liver insufficiency. The magnitude of this risk largely depends on the volume and function of the future liver remnant (FLR). It is, therefore, critical that hepatobiliary surgeons are well versed in measurement of liver volume and function as well as various techniques for preoperative liver volume augmentation. The absolute volume of FLR required to avoid postoperative liver insufficiency depends on patient, disease, and anatomic factors. Rapid expansion of the FLR can safely be achieved with portal venous embolization of the contralateral liver segments.
authors.affiliation: HPB Surgery Section, Department of Surgical Oncology, UT-MD Anderson Cancer Center, 1400 Herman Pressler Drive, Unit 1484, Houston, TX 77030, USA.
authors.forename: Pragatheeshwar
authors.initials: P
authors.lastname: Thirunavukarasu
authors.affiliation: HPB Surgery Section, Department of Surgical Oncology, UT-MD Anderson Cancer Center, 1400 Herman Pressler Drive, Unit 1484, Houston, TX 77030, USA. Electronic address: taaloia@mdanderson.org.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Aloia
mesh_terms: D004621:Embolization, Therapeutic / Q000379:methods; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000473:pathology / Q000503:physiopathology; D008113:Liver Neoplasms / Q000473:pathology* / Q000601:surgery*; D009929:Organ Size; D011183:Postoperative Complications / Q000209:etiology; D011300:Preoperative Care
keywords: Chemotherapy-associated hepatotoxicity; Liver cancer; Liver metastases; Liver surgery; Portal vein embolization; Steatosis