Table 3.
Surgical score | Surgical complexity |
---|---|
1 | No history of surgery, lower abdominal surgery only (C-section/hysterectomy/appendectomy); lap cholecystectomy only; patent portal vein |
2 | Partial non-occlusive PVT; significant SBP; Caudate that wraps cava without additional surgery; really obese patient |
3 | Cholangiocarcinoma without significant previous surgery and no need for Whipple; straight forward polycystic liver; significant pancreatitis; occlusive PVT |
4 | Previous major liver resection; significant upper abdominal surgery (open right nephrectomy; open gastric bypass; Whipple); more difficult polycystic liver |
5 | Redo OLT; likely portal vein jump graft; cholangiocarcinoma with possible Whipple; cholangiocarcinoma with previous Whipple; previous Kasai procedure |