TABLE 5.
Failures of TSH
Patients Failing TSH (n = 21) and Crossover to ALPPS (n = 13) | P | |
Failing due to tumor progression (n = 8) | ||
PVL patients | (2/14)14% | 0.81 |
PVE patients | (6/35)17% | |
Failing due to insufficient growth (n = 13) | ||
PVL patients | (5/14)36% | 0.36 |
PVE patients | (8/35)23% | |
Baseline volume FLR*‡ (mL) | 276 ± 77 | |
Baseline volume sFLR† (%) | 16.3 ± 4.5 | |
Volume 7 d FLR (mL) | 342 ± 89 | |
Volume 7 d sFLR (%) | 20.4 ± 5.2 | |
KGR days 0–28 | 1.1 ± 0.6 | |
Volume increase (%) days 0–7 | 28.6 ± 10.3 | |
Crossover from TSH to ALPPS (n = 13) | ||
Successful ALPPS | 12 | |
Days from First intervention to ALPPS 1 | 85 ± 82 | |
Complication ≥3a (%) | 27 | |
Negative surgical margin in the liver (%) | 67 | |
90-d mortality after final intervention | 0 |
*Future liver remnant, the part of the liver that will remain after final resection.
†sFLR% relative volume in relation to the patients estimated total liver volume.
‡Plus–minus values are means ± SD.
PVE indicates portal venous embolization; PL, portal ligation; FLR, future liver remnant; KGR, kinetic growth rate, absolute increase in volume in % in 1 week.