Risk of Perioperative Transfusion in Hepatectomy

Our liver cancer nomogram is a tool designed to predict the likelihood of requiring a transfusion of red blood cells before, during, or shortly after a hepatectomy (surgery to remove part or all of the liver) for liver cancer. It is appropriate for patients undergoing a hepatectomy for primary and secondary tumors of the liver. If you are a patient, we recommend that you use this tool ONLY in consultation with your physician.

Results produced by this tool are based on data from patients treated at MSK, a large research institution with surgeons who perform a high volume of liver cancer procedures. All results must be understood in the context of each patient’s specific treatment plan. Patients and caregivers using this tool should discuss the result with the patient’s physician.

To gather the information required to use this nomogram, use our worksheet.

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Is there a need for an extrahepatic organ resection during the hepatectomy?
What is extrahepatic organ resection?
Extrahepatic organ resection refers to surgery to remove an organ situated outside the liver.
(0 to 6)
g/mL (3 to 30)
What is hemoglobin?
Hemoglobin refers to a protein inside red blood cells that carries oxygen from the lungs to tissues and organs in the body, and carries carbon dioxide back to the lungs. Testing for the amount of hemoglobin in the blood is usually part of a complete blood count (CBC) test. It is used to check for conditions such as anemia, dehydration, and malnutrition.
x 103/mm3 (20 to 1200)
What is a platelet?
A platelet refers to a tiny piece of a cell found in the blood that breaks off from a large cell found in the bone marrow. Platelets help wounds heal and prevent bleeding by forming blood clots.