Liver kinetic growth rate predicts postoperative liver failure after ALPPS.

Background: Posthepatectomy liver failure (PHLF) may occur after ALPPS (Associating liver partition and portal vein ligation for staged hepatectomy) despite a sufficient standardized future liver remnant (sFLR) volume. The aim of this study was to test kinetic growth rate (KGR) after ALPPS stage 1, describing the percentage increase of sFLR per day, as a predictor of PHLF after completion of ALPPS.

Methods: The ability of KGR to predict PHLF after ALPPS stage 2 was investigated in 38 patients.