Semin intervent Radiol 2008; 25(2): 104-109
DOI: 10.1055/s-2008-1076681
© Thieme Medical Publishers

Standardized Liver Volumetry for Portal Vein Embolization

Dario Ribero1 , Yun Shin Chun1 , Jean-Nicolas Vauthey1
  • 1Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Further Information

Publication History

Publication Date:
30 May 2008 (online)

ABSTRACT

Major and extended hepatic resections are being performed with increasing frequency as morbidity and mortality rates after major hepatectomies have declined and definitions of resectability have expanded for primary and metastatic hepatic malignancies. Systematic assessment of the anticipated functional remnant liver is essential before major hepatic resection to avoid postoperative hepatic insufficiency and its attendant sequelae. The volume of the future liver remnant (FLR) correlates with FLR function and postoperative outcome. This article describes the rationale for FLR measurement, methods of measuring FLR volume, and standardization to the total estimated liver volume. The indications for portal vein embolization based on standardized liver volumetry are summarized.

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Jean-Nicolas VautheyM.D. F.A.C.S. 

Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center

1515 Holcombe Boulevard, Unit 444, Houston, TX 77030

Email: jvauthey@mdanderson.org