<abstract xmlns="http://www.w3.org/1999/xhtml"> Background: Liver resection has been the main strategy for treating either primary or secondary liver cancer. However, major liver resection may lead to postoperative liver failure. Portal vein embolization (PVE) is a procedure to induce hypertrophy of a liver remnant (LR) before major resection surgery. There are many variations in procedural techniques, with different advantages and disadvantages.Objective: We studied change in liver remnant volume, resectibility rate, and complications after percutaneous ipsilateral portal vein embolization (PVE) using histoacryl glue.Methods: Clinical data of 25 patients who underwent ipsilateral PVE were reviewed. Eighteen patients who had pre- and post- CT studies had total liver volumes (TLV) and LR volumes determined before and after the procedure using MDCT volumetry. Complications and respectability rates were recorded.Results: All 18 patients who had pre-CT and post-CT studies had increased LR volumes. The mean of LR volumes before and after ipsilateral PVE were calculated at about 449 ml and 586 ml, which were statistically significant (p &lt;0.001). The mean enlargement of LR was 30% (range 4 to 120%). There were no deaths or serious complications. The resectabilty rate was 76%.Conclusion: Percutaneous transhepatic ipsilateral PVE could increase the LR volumes before major hepatic resection. There were no significant complications in our study group.</abstract>

Background: Liver resection has been the main strategy for treating either primary or secondary liver cancer. However, major liver resection may lead to postoperative liver failure. Portal vein embolization (PVE) is a procedure to induce hypertrophy of a liver remnant (LR) before major resection surgery. There are many variations in procedural techniques, with different advantages and disadvantages.Objective: We studied change in liver remnant volume, resectibility rate, and complications after percutaneous ipsilateral portal vein embolization (PVE) using histoacryl glue.Methods: Clinical data of 25 patients who underwent ipsilateral PVE were reviewed. Eighteen patients who had pre- and post- CT studies had total liver volumes (TLV) and LR volumes determined before and after the procedure using MDCT volumetry. Complications and respectability rates were recorded.Results: All 18 patients who had pre-CT and post-CT studies had increased LR volumes. The mean of LR volumes before and after ipsilateral PVE were calculated at about 449 ml and 586 ml, which were statistically significant (p <0.001). The mean enlargement of LR was 30% (range 4 to 120%). There were no deaths or serious complications. The resectabilty rate was 76%.Conclusion: Percutaneous transhepatic ipsilateral PVE could increase the LR volumes before major hepatic resection. There were no significant complications in our study group.

Percutaneous ipsilateral portal vein embolization using histoacryl glue: changing LR, resectibility rate and complications

Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330,

Medical Imaging, Chulabhorn Hospital, Chulabhorn Research Institute, Bangkok 10210,

Asian Biomedicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Background: Liver resection has been the main strategy for treating either primary or secondary liver cancer. However, major liver resection may lead to...

Percutaneous ipsilateral portal vein embolization using histoacryl glue: changing LR, resectibility rate and complications

Article Category: Original article

Online veröffentlicht: 04. Feb. 2017

Seitenbereich: 361 - 367

DOI: https://doi.org/10.5372/1905-7415.0603.067

Schlüsselwörter
Histoacryl glue, ipsilateral approach, liver cancer treatment, liver remnant, portal vein embolization

© 2017

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Percutaneous ipsilateral portal vein embolization using histoacryl glue: changing LR, resectibility rate and complications

Article Category: Original article

Online veröffentlicht: 04. Feb. 2017

Seitenbereich: 361 - 367

DOI: https://doi.org/10.5372/1905-7415.0603.067

SchlüsselwörterHistoacryl glue, ipsilateral approach, liver cancer treatment, liver remnant, portal vein embolization

© 2017

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Schlüsselwörter
Histoacryl glue, ipsilateral approach, liver cancer treatment, liver remnant, portal vein embolization