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    • Prediction of Liver Failure after Resection of Hepatocellular Carcinoma in Cirrhotic Patients Efficiency of Different Prognostic Scores

    Abdelrahim A. Abdelrahim, Farouk A. Mourad, Mostafa A. Hamad, Ahmed M. Ali, Ahmed M. Ibrahim, Mohmoud R. Shehata, Ragai S. Hanna
    General Surgery Department. Faculty of Medicine, Assiut University

    Background: Hepatocellular carcinoma (HCC) is the fifth most common cancer in the world. Liver failure is a fatal complication that sometimes follows a partial hepatic resection. The incidence of post-resectional liver failure (PLF) is most common complication after hepatic resection. Objective: To predict liver failure after hepatic resection of hepatocellular carcinoma in cirrhotic patients by using different scores. [ChildPugh, MELD scores]. Patients and methods: prospective hospital based study General Surgery department and Al-Rajhi University Hospital, in period between June 2011 and June 2016, seventy patients were enrolled in the study. Results: this study showed that low serum albumin, Child score (> 6) and MELD score (> 9) were independent risk factors for PHLF however considering child pugh score alone or MELD score alone may not be good predictive factor to determine the outcome after resection Conclusion: the consideration of both MELD and child score in the same time for every patient is essential to determine the outcome of surgery after resection for HCC on top of cirrhosis. Keywords: Post- hepatoectomy liver failure, Liver cirrhosis, prognostic scores. 

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