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Planning a Hepatic Resection Based on the Albumin-Indocyanine Green Evaluation (ALICE) Grade of Kokudo et al

Description

Kokudo et al developed the Albumin-Indocyanine Green Evaluation (ALICE) Grade for evaluating a patient prior to hepatic resection. This can be used to help plan the patient's surgery. The authors are from the University of Tokyo, Saitama Cancer Center, University Hospital Centre Hospitalier Universitaire Vaudois, Japanese Red Cross Medical Center, and University College London.


 

Patient selection: hepatocellular carcinoma prior to hepatic resection without ascites or hyperbilirubinemia

 

ALICE Grade

Liver Function

Number of Segments That Can Be Resected

1

normal

1 to 6

2a

impaired

1 to 4

2b

impaired

1 to 3

3

poor

limited

 

A patient with ALICE Grade 3 may benefit from ablation or transplantation rather than hepatic resection. The patient is at risk for significant complications following surgery.

 


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