MDCalc

Liver Decompensation Risk after Hepatectomy for Hepatocellular Carcinoma (HCC)

Predicts risk of liver decompensation after hepatectomy for hepatocellular carcinoma (HCC).

Portal hypertension
At least F1 esophageal varices (i.e., small and straight) on endoscopy OR platelets <100,000/μL with splenomegaly (>12 cm diameter)
Extension of hepatectomy
Major resection = removal of ≥3 adjacent segments

Result:

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Advice
  • Use results to weigh surgical versus non-surgical options for HCC and to facilitate informed-consent discussions.
  • Integrate the results of this tool with a comprehensive clinical assessment and specialist input; it should not be the sole determinant of treatment strategy or preoperative risk evaluation.
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