Too Big to Fail
This is the largest reported single-center series of pediatric major hepatectomies. PHLF is exceedingly rare in children. The liver volume-to-BW ratio is higher in children compared with adults, and the FLR is sufficient even in extreme resections with <20% of the liver remnant. These findings strongly question the use of asociating liver partition and portal vein ligation for staged hepatectomy, portal vein embolization, or transplantation based on suspected insufficient liver remnants in children.
Authors
- Juri Fuchs (ORCID: https://orcid.org/0000-0003-2484-8615)
- Lucas Rabaux‐Eygasier (ORCID: https://orcid.org/0000-0002-8540-5677)
- Florent Guérin (ORCID: https://orcid.org/0000-0002-3487-3745)
- Thomas Husson
- Virginie Fouquet
- G. Héry
- Sophie Branchereau
Institutions
- Heidelberg University (DE)
- Université Paris-Saclay (FR)
- Assistance Publique – Hôpitaux de Paris (FR)
- Bicêtre Hospital (FR)
- Hôpital Paul-Brousse (FR)
Publication Details
- Journal
- Annals of Surgery
- Published
- 2024-11-25
- DOI
- https://doi.org/10.1097/sla.0000000000006595
- Citations
- 6
- Primary Topic
- Hepatocellular Carcinoma Treatment and Prognosis
- Type
- article
- Field-Weighted Citation Impact
- 2.22