🔪 Future Liver Remnant Ratio (FLR / sTLV, Vauthey)
UsePlanning major hepatectomy and re-measuring after portal vein embolization.
SourceVauthey JN, et al. Liver Transpl 2002;8:233-240
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
sFLR = FLR / sTLV.
When to use
Planning major hepatectomy and re-measuring after portal vein embolization.
How it works
BSA = √(height × weight / 3600); sTLV = −794.41 + 1267.28 × BSA; sFLR = FLR / sTLV.
Key points
- sFLR = FLR / sTLV.
- Normal liver ≥20%.
- After extensive chemotherapy ≥30%.
- Cirrhosis ≥40%.
References
- Vauthey JN, et al. Liver Transpl 2002;8:233-240
- Abdalla EK, et al. Ann Surg Oncol 2006;13:1271-1280
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Future liver remnant volume (CT volumetry) | 420 mL |
|---|---|
| Height | 170 cm |
| Weight | 65 kg |
| Liver background | Extensive chemotherapy / steatosis |
→sFLR29.5%
- BSA (Mosteller):1.75 m²
- Standard total liver volume:1426 mL = −794.41 + 1267.28 × BSA
- Threshold:≥30% (chemotherapy / steatosis)
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Future Liver Remnant Ratio (FLR / sTLV, Vauthey)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Future Liver Remnant Ratio (FLR / sTLV, Vauthey) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Future Liver Remnant Ratio (FLR / sTLV, Vauthey) calculated in practice? Can you show a worked example?
- Inputs: Future liver remnant volume (CT volumetry) 420 mL, Height 170 cm, Weight 65 kg, Liver background Extensive chemotherapy / steatosis → Result: sFLR 29.5%(BSA (Mosteller): 1.75 m², Standard total liver volume: 1426 mL = −794.41 + 1267.28 × BSA, Threshold: ≥30% (chemotherapy / steatosis))