Score of Wang et al for Predicting Complications After a Liver Resection for a Hepatocellular Carcinoma Secondary to Hepatitis B

Description

Wang et al developed a score for predicting complications after a hepatic resection for a hepatocellular carcinoma caused by hepatitis B virus (HBV). This can help to identify a patient who may require more aggressive management. The authors are from Sichuan University in Chengdu, China.

Patient selection: hepatic resection for hepatocellular carcinoma secondary to HBV

Outcome: severe complications (Clavian-Dindo Grades III to V)

Parameters:

(1) extent of the hepatic resection

(2) extrahepatic procedure (splenectomy, adrenalectomy, bowel resection, etc)

(3) portal hypertension

(4) ASA status

Parameter	Finding	Points
extent of liver resection	minor	0
	major (more than 3 segments)	4
extrahepatic procedure	no	0
	yes	1
portal hypertension	no	0
	yes	3
ASA class	I or II	0
	III or IV	2

total score =

= SUM(points for all 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 10

• The higher the score the greater the likelihood of severe complications.

Total Score	Risk Group	Severe Complications
0 to 3	low	1.6%
4 to 6	intermediate	12%
7 to 10	high	66%

Performance:

• The area under the ROC curve was 0.90 in the development group.

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Score of Wang et al for Predicting Complications After a Liver Resection for a Hepatocellular Carcinoma Secondary to Hepatitis B

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