What is it about?
Liver fibrosis is a risk factor for hepatectomy but cannot be accurately determined before hepatectomy because diagnostic procedures are too invasive. Magnetic resonance elastography (MRE) can detect liver stiffness (LS) values, a surrogate marker for assessing liver fibrosis, non-invasively. We have showed for the first time that LS value determined by MRE is predictive of major complications after hepatectomy.
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Why is it important?
Preoperative assessment of liver fibrosis may be of added value for stratifying the surgical risk of hepatic resection, even in patients with good liver function capacity. Non-invasive MRE may give hepatic surgeons a new sensitive scale for discriminating the degree of portal vein pressure.
Perspectives
Because the liver is a multi-functional organ, a comprehensive evaluation of preoperative liver function, including MRE, may be required for accurate prediction of the risk of hepatectomy.
Naoya Sato
fukushima medical university
Read the Original
This page is a summary of: Prediction of major complications after hepatectomy using liver stiffness values determined by magnetic resonance elastography, BJS, April 2018, Wiley,
DOI: 10.1002/bjs.10831.
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