Reconsideration of liver failure after liver cancer surgery / 临床肝胆病杂志

ABSTRACT

High mortality and incidence rate of complications after hepatectomy are closely associated with postoperative liver failure. Due to limited research on liver failure at present, no consensus has been reached on the definition of liver failure after hepatectomy. This article summarizes the definition, pathogenesis, risk factors, liver function assessment methods, and preventive measures of postoperative liver failure. It is pointed out that adequate preoperative assessment of liver function reserve, effective methods for bleeding control, shortening time of operation, preservation of functional liver tissue as much as possible, and timely and effective diagnosis/treatment and prevention during the perioperative period can reduce the incidence rate of liver failure, improve patient prognosis, and maximize the benefits of patients.