Risk Factors of Schindl et al for Severe Hepatic Dysfunction Following a Major Hepatic Resection

Description

Schindl et al identified a number of risk factors for severe hepatic dysfunction following a major hepatic resection. These can help to identify patients who may benefit from more aggressive management. The authors are from the Royal Infirmary in Edinburgh.

Patient selection: major hepatic resection

Parameters:

(1) percent residual liver volume after surgery

(2) body mass index (BMI)

(3) operating time in minutes

(4) intraoperative blood loss in mL

A percent residual liver volume < 26.6% was critical for severe hepatic dysfunction.

Parameter	Finding	Points
body mass index	<= 30 kg per square meter	0
	> 30 kg per square meter	1
operating time	<= 240 minutes	0
	> 240 minutes	1
intraoperative blood loss	<= 2,000 mL	0
	> 2,000 mL	1

where:

• A high body mass index may be indicative of significant steatosis.

number of additional risk factors =

= SUM(ppoints for all 3 additional parameters).

Percent Residual Liver Volume	Number of Additional Risk Factors	Risk of Severe Hepatic Dysfunction
>= 26.6%	0	low risk
>= 26.6%	1 or more	increasing risk
< 26.6%	0	high risk
< 26.6%	1 or more	increasing risk

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Description

Specialty

ICD-10