Prognostic Groups of Citterio et al for Liver Decompensation After Hepatic Resection for Hepatocellular Carcinoma

Description

Citterio et al identified factors associated with liver decompensation following resection of an hepatocellular carcinoma. The authors are from Istituto Nazionale Tumori in Milan , University of Foggia and Azienda Ospedaliera Universitaria Ospedali Riuniti.

Patient selection: hepatic resection of a hepatocellular carcinoma

Outcomes: hepatic decompensation, liver-related mortality

Parameters:

(1) portal hypertension (at least F1 esophageal varices OR (platelet count < 100,000 per µL AND splenomegaly)

(2) planned extent of hepatectomy (major if removal of >= 3 adjacent segments)

(3) MELD score

Portal Hypertension	Extent of the Resection	MELD Score	Risk Group
no	minor	<= 9	low
no	minor	> 9	intermediate
no	major	NA	intermediate
yes	minor	NA	intermediate
yes	major	NA	high

Risk Group	Percent Decompensation	Liver-Related Mortality
low	4.9%	4.4%
intermediate	28.6%	9%
high	60%	25%

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Prognostic Groups of Citterio et al for Liver Decompensation After Hepatic Resection for Hepatocellular Carcinoma

Description

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