Interventional oncology: new options for interstitial treatments and intravascular approaches: Right hepatic vein embolization after right portal vein embolization for inducing hypertrophy of the future liver remnant

Extensive hepatic resection is often associated with post-hepatectomy liver failure. Owing to the regenerative capacity of the liver, preoperative portal vein embolization (PVE) has been proposed to increase the functional mass of the non-embolized liver segments that will remain in situ after surge...

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Bibliographic Details
Published in:Journal of hepato-biliary-pancreatic sciences 2010-07, Vol.17 (4), p.410-412
Main Authors: Ko, Gi-Young, Hwang, Shin, Sung, Kyu-Bo, Gwon, Dong-Il, Lee, Sung-Gyu
Format: Article
Language:English
Subjects:
Abdominal Surgery
Antineoplastic Agents - administration & dosage
Carcinoma, Hepatocellular - therapy
Chemoembolization, Therapeutic - methods
Gastroenterology
Hepatic Veins
Hepatology
Humans
Hypertrophy - chemically induced
Hypertrophy - pathology
Injections, Intravenous
Liver - drug effects
Liver - pathology
Liver Neoplasms - therapy
Medicine
Medicine & Public Health
Portal Vein
Surgical Oncology
Topics
Treatment Outcome
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Summary:Extensive hepatic resection is often associated with post-hepatectomy liver failure. Owing to the regenerative capacity of the liver, preoperative portal vein embolization (PVE) has been proposed to increase the functional mass of the non-embolized liver segments that will remain in situ after surgery. However, in some patients, hypertrophy of the non-embolized liver segments following PVE is insufficient to support major hepatectomy. Several studies have demonstrated alternative techniques for inducing hypertrophy of the non-embolized liver segments, including PVE in conjunction with hepatic arterial embolization or hepatic vein embolization in conjunction with PVE. Investigation of new techniques for inducing hypertrophy of the future liver remnant can reasonably be expected to expand the selection criteria for extensive hepatic resection.
ISSN:1868-6974
1868-6982
DOI:10.1007/s00534-009-0235-y