AustralieFrV1, Main, Exploration, bibRecord, 006815

Posthepatectomy liver failure: A definition and grading by the International Study Group of Liver Surgery (ISGLS)

Identifieur interne : 006815 ( Main/Exploration ); précédent : 006814; suivant : 006816

Posthepatectomy liver failure: A definition and grading by the International Study Group of Liver Surgery (ISGLS)

Auteurs : Nuh N. Rahbari [Allemagne] ; O. James Garden [Royaume-Uni] ; Robert Padbury [Australie] ; Mark Brooke-Smith [Australie] ; Michael Crawford [Australie] ; Rene Adam [France] ; Moritz Koch [Allemagne] ; Masatoshi Makuuchi [Japon] ; Ronald P. Dematteo [États-Unis] ; Christopher Christophi [Australie] ; Simon Banting [Australie] ; Val Usatoff [Australie] ; Masato Nagino [Japon] ; Guy Maddern [Australie] ; Thomas J. Hugh [Australie] ; Jean-Nicolas Vauthey [États-Unis] ; Paul Greig [Canada] ; Myrddin Rees [Royaume-Uni] ; Yukihiro Yokoyama [Australie] ; SHEUNG TAT FAN [Hong Kong] ; Yuji Nimura [Japon] ; Joan Figueras [Espagne] ; Lorenzo Capussotti [Italie] ; Markus W. Büchler [Allemagne] ; Jürgen Weitz [Allemagne]

Source :

Surgery [ 0039-6060 ] ; 2011.

RBID : Pascal:11-0227318

Descripteurs français

Pascal (Inist)
- Insuffisance hépatique, Définition, Grade histologique, Chirurgie, International, Monde, Foie, Médecine, Traitement.
Wicri :
- topic : Chirurgie, Médecine.

English descriptors

KwdEn :
- Definition, Histological grading, International, Liver, Liver failure, Medicine, Surgery, Treatment, World.

Abstract

Background. Posthepatectomy liver failure is a feared complication after hepatic resection and a major cause of perioperative mortality. There is currently no standardized definition of Posthepatectomy liver failure that allows valid comparison of results from different studies and institutions. The aim of the current article was to propose a definition and grading of severity of posthepatectomy liver failure. Methods. A literature search on posthepatectomy liver failure after hepatic resection was conducted. Based on the normal course of biochemical liver function tests after hepatic resection, a simple and easily applicable definition of posthepatectomy liver failure was developed by the International Study Group of Liver Surgery. Furthermore, a grading of severity is proposed based on the impact on patients' clinical management. Results. No uniform definition of posthepatectomy liver failure has been established in the literature addressing hepatic surgery. Considering the normal postoperative course of serum bilirubin concentration and International Normalized Ratio, we propose definingposthepatectomy liver failure as the impaired ability of the liver to maintain its synthetic, excretory, and detoxifying functions, which are characterized by an increased international normalized ratio and concomitant hyperbilirubinemia (according to the normal łimits of the local laboratory) on or after postoperative day 5. The severity of posthepatectomy liver failure should be graded based on its impact on clinical management. Grade A posthepatectomy liver failure requires no change of the patient's clinical management. The clinical management of patients with grade B posthepatectomy liver failure deviates from the regular course but does not require invasive therapy. The need for invasive treatment defines grade C posthepatectomy liver failure. Conclusion. The current definition of posthepatectomy liver failure is simple and easily applicable in clinical routine. This definition can be used in future studies to allow objective and accurate comparisons of operative interventions in the field of hepatic surgery.

Affiliations:

Allemagne, Australie, Canada, Espagne, France, Hong Kong, Italie, Japon, Royaume-Uni, États-Unis
Nouvelle-Galles du Sud, Ontario, Piémont, Région de Kantō, Victoria (État), Écosse
Melbourne, Sydney, Tokyo, Toronto, Turin, Édimbourg
Université d'Édimbourg, Université de Tokyo, Université de Toronto

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Le document en format XML

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<author><name sortKey="Makuuchi, Masatoshi" sort="Makuuchi, Masatoshi" uniqKey="Makuuchi M" first="Masatoshi" last="Makuuchi">Masatoshi Makuuchi</name>
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<author><name sortKey="Banting, Simon" sort="Banting, Simon" uniqKey="Banting S" first="Simon" last="Banting">Simon Banting</name>
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<author><name sortKey="Nagino, Masato" sort="Nagino, Masato" uniqKey="Nagino M" first="Masato" last="Nagino">Masato Nagino</name>
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<author><name sortKey="Maddern, Guy" sort="Maddern, Guy" uniqKey="Maddern G" first="Guy" last="Maddern">Guy Maddern</name>
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<author><name sortKey="Hugh, Thomas J" sort="Hugh, Thomas J" uniqKey="Hugh T" first="Thomas J." last="Hugh">Thomas J. Hugh</name>
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</placeName>
</affiliation>
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<author><name sortKey="Vauthey, Jean Nicolas" sort="Vauthey, Jean Nicolas" uniqKey="Vauthey J" first="Jean-Nicolas" last="Vauthey">Jean-Nicolas Vauthey</name>
<affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Department of Surgical Oncology,The University of Texas M. D. Anderson Cancer Center</s1>
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<s3>USA</s3>
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</inist:fA14>
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<author><name sortKey="Greig, Paul" sort="Greig, Paul" uniqKey="Greig P" first="Paul" last="Greig">Paul Greig</name>
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<s2>Toronto</s2>
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</placeName>
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<author><name sortKey="Rees, Myrddin" sort="Rees, Myrddin" uniqKey="Rees M" first="Myrddin" last="Rees">Myrddin Rees</name>
<affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Department of Hepatobiliary Surgery,North Hampshire Hospital</s1>
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</inist:fA14>
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</affiliation>
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<author><name sortKey="Yokoyama, Yukihiro" sort="Yokoyama, Yukihiro" uniqKey="Yokoyama Y" first="Yukihiro" last="Yokoyama">Yukihiro Yokoyama</name>
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<s3>AUS</s3>
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</inist:fA14>
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<wicri:noRegion>Department of Surgery,Melbourne University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sheung Tat Fan" sort="Sheung Tat Fan" uniqKey="Sheung Tat Fan" last="Sheung Tat Fan">SHEUNG TAT FAN</name>
<affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Department of Surgery,Queen Mary Hospital, University of Hong Kong</s1>
<s3>HKG</s3>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Hong Kong</country>
<wicri:noRegion>Department of Surgery,Queen Mary Hospital, University of Hong Kong</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nimura, Yuji" sort="Nimura, Yuji" uniqKey="Nimura Y" first="Yuji" last="Nimura">Yuji Nimura</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Surgery, Division of Surgical Oncology, Nagoya University Graduate School of Medicine</s1>
<s2>Nagoya</s2>
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</affiliation>
</author>
<author><name sortKey="Figueras, Joan" sort="Figueras, Joan" uniqKey="Figueras J" first="Joan" last="Figueras">Joan Figueras</name>
<affiliation wicri:level="1"><inist:fA14 i1="19"><s1>Hepatobiliary and Pancreatic Division of Surgery,"Josep Trueta" Hospital, IDibGi, University of Girona</s1>
<s2>Crirona</s2>
<s3>ESP</s3>
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<country>Espagne</country>
<wicri:noRegion>Crirona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Capussotti, Lorenzo" sort="Capussotti, Lorenzo" uniqKey="Capussotti L" first="Lorenzo" last="Capussotti">Lorenzo Capussotti</name>
<affiliation wicri:level="3"><inist:fA14 i1="20"><s1>Division of Surgical Oncology,Institute of Cancer Research and Treatment</s1>
<s2>Candiolo, Turin</s2>
<s3>ITA</s3>
<sZ>23 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<placeName><settlement type="city">Turin</settlement>
<region type="région" nuts="2">Piémont</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Buchler, Markus W" sort="Buchler, Markus W" uniqKey="Buchler M" first="Markus W." last="Büchler">Markus W. Büchler</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>24 aut.</sZ>
<sZ>25 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>University of Heidelberg</wicri:noRegion>
<wicri:noRegion>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Weitz, Jurgen" sort="Weitz, Jurgen" uniqKey="Weitz J" first="Jürgen" last="Weitz">Jürgen Weitz</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>24 aut.</sZ>
<sZ>25 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>University of Heidelberg</wicri:noRegion>
<wicri:noRegion>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</wicri:noRegion>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Posthepatectomy liver failure: A definition and grading by the International Study Group of Liver Surgery (ISGLS)</title>
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<author><name sortKey="Garden, O James" sort="Garden, O James" uniqKey="Garden O" first="O. James" last="Garden">O. James Garden</name>
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</affiliation>
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<author><name sortKey="Crawford, Michael" sort="Crawford, Michael" uniqKey="Crawford M" first="Michael" last="Crawford">Michael Crawford</name>
<affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Hepatopancreatobiliary and Transplant Surgery,Royal Prince Alfred Hospital</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
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<author><name sortKey="Adam, Rene" sort="Adam, Rene" uniqKey="Adam R" first="Rene" last="Adam">Rene Adam</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>AP-HP Hôpital Paul Brousse,Centre Hépato-Biliaire</s1>
<s2>Villejuif</s2>
<s3>FRA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>Centre Hépato-Biliaire</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Koch, Moritz" sort="Koch, Moritz" uniqKey="Koch M" first="Moritz" last="Koch">Moritz Koch</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>24 aut.</sZ>
<sZ>25 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>University of Heidelberg</wicri:noRegion>
<wicri:noRegion>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Makuuchi, Masatoshi" sort="Makuuchi, Masatoshi" uniqKey="Makuuchi M" first="Masatoshi" last="Makuuchi">Masatoshi Makuuchi</name>
<affiliation wicri:level="4"><inist:fA14 i1="07"><s1>Department of Surgery, Hepato-Biliary-Pancreatic Surgery Division Graduate School of Medicine University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<placeName><settlement type="city">Tokyo</settlement>
<region type="région">Région de Kantō</region>
<settlement type="city">Tokyo</settlement>
</placeName>
<orgName type="university">Université de Tokyo</orgName>
</affiliation>
</author>
<author><name sortKey="Dematteo, Ronald P" sort="Dematteo, Ronald P" uniqKey="Dematteo R" first="Ronald P." last="Dematteo">Ronald P. Dematteo</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Surgery,Memorial Sloan-Kettering Cancer Center</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>New York, NY</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Christophi, Christopher" sort="Christophi, Christopher" uniqKey="Christophi C" first="Christopher" last="Christophi">Christopher Christophi</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Department of Surgery,Melbourne University</s1>
<s3>AUS</s3>
<sZ>10 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Surgery,Melbourne University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Banting, Simon" sort="Banting, Simon" uniqKey="Banting S" first="Simon" last="Banting">Simon Banting</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Hepatobiliary Surgery,St Vincent's Hospital</s1>
<s2>Melbourne, Victoria</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Melbourne, Victoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Usatoff, Val" sort="Usatoff, Val" uniqKey="Usatoff V" first="Val" last="Usatoff">Val Usatoff</name>
<affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Department of Surgery,Alfred Hospital</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nagino, Masato" sort="Nagino, Masato" uniqKey="Nagino M" first="Masato" last="Nagino">Masato Nagino</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Surgery, Division of Surgical Oncology, Nagoya University Graduate School of Medicine</s1>
<s2>Nagoya</s2>
<s3>JPN</s3>
<sZ>13 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Nagoya</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maddern, Guy" sort="Maddern, Guy" uniqKey="Maddern G" first="Guy" last="Maddern">Guy Maddern</name>
<affiliation wicri:level="1"><inist:fA14 i1="13"><s1>University of Adelaide Discipline of Surgery,The Queen Elizabeth Hospital</s1>
<s2>Woodville</s2>
<s3>AUS</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Woodville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hugh, Thomas J" sort="Hugh, Thomas J" uniqKey="Hugh T" first="Thomas J." last="Hugh">Thomas J. Hugh</name>
<affiliation wicri:level="3"><inist:fA14 i1="14"><s1>Department of Gastrointestinal Surgery,Royal North Shore Hospital</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Vauthey, Jean Nicolas" sort="Vauthey, Jean Nicolas" uniqKey="Vauthey J" first="Jean-Nicolas" last="Vauthey">Jean-Nicolas Vauthey</name>
<affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Department of Surgical Oncology,The University of Texas M. D. Anderson Cancer Center</s1>
<s2>Houston, TX</s2>
<s3>USA</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Houston, TX</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Greig, Paul" sort="Greig, Paul" uniqKey="Greig P" first="Paul" last="Greig">Paul Greig</name>
<affiliation wicri:level="4"><inist:fA14 i1="16"><s1>Department of Surgery,Toronto General Hospital, University of Toronto</s1>
<s2>Toronto</s2>
<s3>CAN</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
</author>
<author><name sortKey="Rees, Myrddin" sort="Rees, Myrddin" uniqKey="Rees M" first="Myrddin" last="Rees">Myrddin Rees</name>
<affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Department of Hepatobiliary Surgery,North Hampshire Hospital</s1>
<s2>Basingstoke</s2>
<s3>GBR</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Basingstoke</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yokoyama, Yukihiro" sort="Yokoyama, Yukihiro" uniqKey="Yokoyama Y" first="Yukihiro" last="Yokoyama">Yukihiro Yokoyama</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Department of Surgery,Melbourne University</s1>
<s3>AUS</s3>
<sZ>10 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Surgery,Melbourne University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sheung Tat Fan" sort="Sheung Tat Fan" uniqKey="Sheung Tat Fan" last="Sheung Tat Fan">SHEUNG TAT FAN</name>
<affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Department of Surgery,Queen Mary Hospital, University of Hong Kong</s1>
<s3>HKG</s3>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Hong Kong</country>
<wicri:noRegion>Department of Surgery,Queen Mary Hospital, University of Hong Kong</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nimura, Yuji" sort="Nimura, Yuji" uniqKey="Nimura Y" first="Yuji" last="Nimura">Yuji Nimura</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Surgery, Division of Surgical Oncology, Nagoya University Graduate School of Medicine</s1>
<s2>Nagoya</s2>
<s3>JPN</s3>
<sZ>13 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Nagoya</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Figueras, Joan" sort="Figueras, Joan" uniqKey="Figueras J" first="Joan" last="Figueras">Joan Figueras</name>
<affiliation wicri:level="1"><inist:fA14 i1="19"><s1>Hepatobiliary and Pancreatic Division of Surgery,"Josep Trueta" Hospital, IDibGi, University of Girona</s1>
<s2>Crirona</s2>
<s3>ESP</s3>
<sZ>22 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Crirona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Capussotti, Lorenzo" sort="Capussotti, Lorenzo" uniqKey="Capussotti L" first="Lorenzo" last="Capussotti">Lorenzo Capussotti</name>
<affiliation wicri:level="3"><inist:fA14 i1="20"><s1>Division of Surgical Oncology,Institute of Cancer Research and Treatment</s1>
<s2>Candiolo, Turin</s2>
<s3>ITA</s3>
<sZ>23 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<placeName><settlement type="city">Turin</settlement>
<region type="région" nuts="2">Piémont</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Buchler, Markus W" sort="Buchler, Markus W" uniqKey="Buchler M" first="Markus W." last="Büchler">Markus W. Büchler</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>24 aut.</sZ>
<sZ>25 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>University of Heidelberg</wicri:noRegion>
<wicri:noRegion>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Weitz, Jurgen" sort="Weitz, Jurgen" uniqKey="Weitz J" first="Jürgen" last="Weitz">Jürgen Weitz</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>24 aut.</sZ>
<sZ>25 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>University of Heidelberg</wicri:noRegion>
<wicri:noRegion>Department of General, Visceral and Transplantation Surgery,University of Heidelberg</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Surgery</title>
<title level="j" type="abbreviated">Surgery</title>
<idno type="ISSN">0039-6060</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Surgery</title>
<title level="j" type="abbreviated">Surgery</title>
<idno type="ISSN">0039-6060</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Definition</term>
<term>Histological grading</term>
<term>International</term>
<term>Liver</term>
<term>Liver failure</term>
<term>Medicine</term>
<term>Surgery</term>
<term>Treatment</term>
<term>World</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Insuffisance hépatique</term>
<term>Définition</term>
<term>Grade histologique</term>
<term>Chirurgie</term>
<term>International</term>
<term>Monde</term>
<term>Foie</term>
<term>Médecine</term>
<term>Traitement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term>
<term>Médecine</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background. Posthepatectomy liver failure is a feared complication after hepatic resection and a major cause of perioperative mortality. There is currently no standardized definition of Posthepatectomy liver failure that allows valid comparison of results from different studies and institutions. The aim of the current article was to propose a definition and grading of severity of posthepatectomy liver failure. Methods. A literature search on posthepatectomy liver failure after hepatic resection was conducted. Based on the normal course of biochemical liver function tests after hepatic resection, a simple and easily applicable definition of posthepatectomy liver failure was developed by the International Study Group of Liver Surgery. Furthermore, a grading of severity is proposed based on the impact on patients' clinical management. Results. No uniform definition of posthepatectomy liver failure has been established in the literature addressing hepatic surgery. Considering the normal postoperative course of serum bilirubin concentration and International Normalized Ratio, we propose definingposthepatectomy liver failure as the impaired ability of the liver to maintain its synthetic, excretory, and detoxifying functions, which are characterized by an increased international normalized ratio and concomitant hyperbilirubinemia (according to the normal łimits of the local laboratory) on or after postoperative day 5. The severity of posthepatectomy liver failure should be graded based on its impact on clinical management. Grade A posthepatectomy liver failure requires no change of the patient's clinical management. The clinical management of patients with grade B posthepatectomy liver failure deviates from the regular course but does not require invasive therapy. The need for invasive treatment defines grade C posthepatectomy liver failure. Conclusion. The current definition of posthepatectomy liver failure is simple and easily applicable in clinical routine. This definition can be used in future studies to allow objective and accurate comparisons of operative interventions in the field of hepatic surgery.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Canada</li>
<li>Espagne</li>
<li>France</li>
<li>Hong Kong</li>
<li>Italie</li>
<li>Japon</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region><li>Nouvelle-Galles du Sud</li>
<li>Ontario</li>
<li>Piémont</li>
<li>Région de Kantō</li>
<li>Victoria (État)</li>
<li>Écosse</li>
</region>
<settlement><li>Melbourne</li>
<li>Sydney</li>
<li>Tokyo</li>
<li>Toronto</li>
<li>Turin</li>
<li>Édimbourg</li>
</settlement>
<orgName><li>Université d'Édimbourg</li>
<li>Université de Tokyo</li>
<li>Université de Toronto</li>
</orgName>
</list>
<tree><country name="Allemagne"><noRegion><name sortKey="Rahbari, Nuh N" sort="Rahbari, Nuh N" uniqKey="Rahbari N" first="Nuh N." last="Rahbari">Nuh N. Rahbari</name>
</noRegion>
<name sortKey="Buchler, Markus W" sort="Buchler, Markus W" uniqKey="Buchler M" first="Markus W." last="Büchler">Markus W. Büchler</name>
<name sortKey="Koch, Moritz" sort="Koch, Moritz" uniqKey="Koch M" first="Moritz" last="Koch">Moritz Koch</name>
<name sortKey="Weitz, Jurgen" sort="Weitz, Jurgen" uniqKey="Weitz J" first="Jürgen" last="Weitz">Jürgen Weitz</name>
</country>
<country name="Royaume-Uni"><region name="Écosse"><name sortKey="Garden, O James" sort="Garden, O James" uniqKey="Garden O" first="O. James" last="Garden">O. James Garden</name>
</region>
<name sortKey="Rees, Myrddin" sort="Rees, Myrddin" uniqKey="Rees M" first="Myrddin" last="Rees">Myrddin Rees</name>
</country>
<country name="Australie"><noRegion><name sortKey="Padbury, Robert" sort="Padbury, Robert" uniqKey="Padbury R" first="Robert" last="Padbury">Robert Padbury</name>
</noRegion>
<name sortKey="Banting, Simon" sort="Banting, Simon" uniqKey="Banting S" first="Simon" last="Banting">Simon Banting</name>
<name sortKey="Brooke Smith, Mark" sort="Brooke Smith, Mark" uniqKey="Brooke Smith M" first="Mark" last="Brooke-Smith">Mark Brooke-Smith</name>
<name sortKey="Christophi, Christopher" sort="Christophi, Christopher" uniqKey="Christophi C" first="Christopher" last="Christophi">Christopher Christophi</name>
<name sortKey="Crawford, Michael" sort="Crawford, Michael" uniqKey="Crawford M" first="Michael" last="Crawford">Michael Crawford</name>
<name sortKey="Hugh, Thomas J" sort="Hugh, Thomas J" uniqKey="Hugh T" first="Thomas J." last="Hugh">Thomas J. Hugh</name>
<name sortKey="Maddern, Guy" sort="Maddern, Guy" uniqKey="Maddern G" first="Guy" last="Maddern">Guy Maddern</name>
<name sortKey="Usatoff, Val" sort="Usatoff, Val" uniqKey="Usatoff V" first="Val" last="Usatoff">Val Usatoff</name>
<name sortKey="Yokoyama, Yukihiro" sort="Yokoyama, Yukihiro" uniqKey="Yokoyama Y" first="Yukihiro" last="Yokoyama">Yukihiro Yokoyama</name>
</country>
<country name="France"><noRegion><name sortKey="Adam, Rene" sort="Adam, Rene" uniqKey="Adam R" first="Rene" last="Adam">Rene Adam</name>
</noRegion>
</country>
<country name="Japon"><region name="Région de Kantō"><name sortKey="Makuuchi, Masatoshi" sort="Makuuchi, Masatoshi" uniqKey="Makuuchi M" first="Masatoshi" last="Makuuchi">Masatoshi Makuuchi</name>
</region>
<name sortKey="Nagino, Masato" sort="Nagino, Masato" uniqKey="Nagino M" first="Masato" last="Nagino">Masato Nagino</name>
<name sortKey="Nimura, Yuji" sort="Nimura, Yuji" uniqKey="Nimura Y" first="Yuji" last="Nimura">Yuji Nimura</name>
</country>
<country name="États-Unis"><noRegion><name sortKey="Dematteo, Ronald P" sort="Dematteo, Ronald P" uniqKey="Dematteo R" first="Ronald P." last="Dematteo">Ronald P. Dematteo</name>
</noRegion>
<name sortKey="Vauthey, Jean Nicolas" sort="Vauthey, Jean Nicolas" uniqKey="Vauthey J" first="Jean-Nicolas" last="Vauthey">Jean-Nicolas Vauthey</name>
</country>
<country name="Canada"><region name="Ontario"><name sortKey="Greig, Paul" sort="Greig, Paul" uniqKey="Greig P" first="Paul" last="Greig">Paul Greig</name>
</region>
</country>
<country name="Hong Kong"><noRegion><name sortKey="Sheung Tat Fan" sort="Sheung Tat Fan" uniqKey="Sheung Tat Fan" last="Sheung Tat Fan">SHEUNG TAT FAN</name>
</noRegion>
</country>
<country name="Espagne"><noRegion><name sortKey="Figueras, Joan" sort="Figueras, Joan" uniqKey="Figueras J" first="Joan" last="Figueras">Joan Figueras</name>
</noRegion>
</country>
<country name="Italie"><region name="Piémont"><name sortKey="Capussotti, Lorenzo" sort="Capussotti, Lorenzo" uniqKey="Capussotti L" first="Lorenzo" last="Capussotti">Lorenzo Capussotti</name>
</region>
</country>
</tree>
</affiliations>
</record>

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	Serveur d'exploration sur les relations entre la France et l'Australie
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Posthepatectomy liver failure: A definition and grading by the International Study Group of Liver Surgery (ISGLS)

Posthepatectomy liver failure: A definition and grading by the International Study Group of Liver Surgery (ISGLS)

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