Objective To explore the clinical application and recent progress of preoperative liver function evaluation methods.Method The literatures about the studies of indexes of preoperative liver function evaluation were summarized and analyzed.Results Serological indexes could reflect liver function in many aspects; Indocyanine green clearance test, Child-Pugh and MELD scoring system could improve the accuracy of evaluating liver reserve function; Imaging examination and artificial intelligence (radiomics and deep learning) helped to diagnose the degree of liver fibrosis and accurately measure the volume of functional liver.Conclusions Each method of preoperative liver function evaluation has certain limitation. It needs comprehensive analysis combined with a variety of evaluation indexes so as to objectively and accurately evaluate liver function and formulate an individualized diagnosis and treatment plan that furthest benefits patients.
LUO Zhijiang, PENG Tao, LIN Xuan, CHEN Bin. Research progress and clinical application of preoperative liver function evaluation indexes. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(7): 962-968. doi: 10.7507/1007-9424.202010008