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World J Gastroenterol. Jan 7, 2014; 20(1): 274-281
Published online Jan 7, 2014. doi: 10.3748/wjg.v20.i1.274
Published online Jan 7, 2014. doi: 10.3748/wjg.v20.i1.274
An accurate predictor of liver failure and death after hepatectomy: A single institution’s experience with 478 consecutive cases
Zheng-Gui Du, Yong-Gang Wei, Ke-Fei Chen, Bo Li, Department of Liver Surgery, Liver Transplantation Center, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Li B and Du ZG contributed equally to this work; Li B and Du ZG designed the study; Du ZG, Li B, Wei YG and Chen KF performed the experiments; Du ZG and Wei YG contributed new reagents/analytic tools; Du ZG and Wei YG analyzed the data; and Du ZG and Chen KF wrote the paper.
Correspondence to: Bo Li, MD, Department of Liver Surgery, Liver Transplantation Centre, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu 610041, Sichuan Province, China. doclibo@gmail.com
Telephone: +86-28-85422476 Fax: +86-28-85423724
Received: August 1, 2013
Revised: October 25, 2013
Accepted: November 12, 2013
Published online: January 7, 2014
Revised: October 25, 2013
Accepted: November 12, 2013
Published online: January 7, 2014
Core Tip
Core tip: We derived a new definition of postoperative liver failure (PLF) termed the hepatic damage score (HDs). The HDs was an ideal definition of PLF and reflected the degree of liver impairment after resection as mild (HDs = 0), reversible hepatic “dysfunction” (HDs = 1) to fatal hepatic failure (HDs = 2).