In major hepatic resection candidates with normal liver function, what is the standardized future liver remnant (sFLR) cutoff for PVE?
- The size of the FLR needs to be standardized to patient size as larger patients require a larger liver mass to support their essential functions compared to smaller patients.
- sFLR is expressed as a percentage of FLR in relation to total functioning liver volume.
- The cutoff for PVE is an sFLR less than 20%.
- Studies have shown significantly higher rates of postoperative liver insufficiency and death from liver failure in patients with sFLR of less than 20% compared with patients with an sFLR of 20% or more.