Comparison of different methods to quantify future liver remnants after preoperative portal vein embolization to predict postoperative liver failure

Shah, Amit Goffette, Pierre [UCL] Hubert, Catherine [UCL] Lerut, Jan [UCL] Van Beers, Bernard [UCL] Annet, Laurence [UCL] Sempoux, Christine [UCL] Gigot, Jean-François [UCL]

Even though preoperative portal vein embolization (PVE) can lead to hypertrophy of the future liver remnant (FLR) in candidates with small remnant liver prior to anticipated major hepatic resection, quantification of FLR after PVE is important to ensure adequate hepatic reserve in order to avoid postoperative hepatic failure. This study aims to determine the accuracy and reliability of three commonly used FLR quantification methods by correlating their ability to detect postoperative hepatic failure. The role of the degree of liver hypertrophy (DLH) in this context was also explored.