sFLR cutoff for PVE

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.
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