Abstract
4066Background: Most patients with hepatocellular carcinoma (HCC) have underlying liver disease, therefore, precise preoperative evaluation of the patient’s liver function is essential. Methods: We...
Highlights
Most of the patients with hepatocellular carcinoma (HCC) have underlying liver disease [1]
Portal hypertension (PH) is listed as a contraindication for liver resection in Western countries, and the indocyanine green (ICG) test is widely used in East Asian countries to decide whether patients with HCC are candidates for surgery [6,7,8,9,10,11,12,13]
The surgical strategy for HCC patients needs to be selected based on more sensitive and accurate criteria than the Child-Pugh score, model for end-stage liver disease (MELD) score, liver function analysis based on indocyanine green retention rate at 15 minutes (ICG R15) alone, or the presence/absence of PH [4,5,6,13]
Summary
Most of the patients with hepatocellular carcinoma (HCC) have underlying liver disease [1]. Precise preoperative evaluation of the patient’s liver function is essential to avoid postoperative liver failure and mortality. The surgical strategy for HCC patients needs to be selected based on more sensitive and accurate criteria than the Child-Pugh score, model for end-stage liver disease (MELD) score, liver function analysis based on ICG R15 alone, or the presence/absence of PH [4,5,6,13]. Most patients with hepatocellular carcinoma (HCC) have underlying liver disease, precise preoperative evaluation of the patient’s liver function is essential for surgical decision making
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