Yamamoto et al reported the ALPlat Index for evaluating a patient undergoing a partial hepatic resection for a liver tumor. The index can help to determine the volume of resection that will minimize the risk of post-hepatectomy liver failure (PHLF). The authors are from multiple institutions in Japan.
Patient selection: prior to partial hepatectomy for a liver tumor
Parameters:
(1) platelet count in 10^9/L
(2) serum albumin in /dL
ALPlat index =
= (platelet count) + (90 * (albumin))
ALPlat Index
Extent of Resection
Surgery
< 423
< 1/6 of liver
limited resection
423 - 461
1/6 of liver
segmentectomy
461 - 531
1/3 of liver
left hemihepatectomy' sectionectomy
> 531
2/3 of liver
right hemihepatectomy' trisectionectomy
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