[Portal vein embolization preparation for major hepatic resection: a new standard in liver surgery]. / Partielle Pfortaderembolisation als Vorbereitung zur ausgedehnten Leberteilresektion: eine interdisziplinäre Herausforderung.
Rofo
; 179(1): 31-7, 2007 Jan.
Article
em De
| MEDLINE
| ID: mdl-17203441
ABSTRACT
Preoperative portal vein embolization (PVE) is increasingly used for operative treatment of patients scheduled to undergo liver resection when the volume of the future remnant liver appears to be insufficient. Portal vein embolization should be considered when the prospective postoperative liver volume is less than 20 % or less than 40 % in patients with known liver cirrhosis. Our own results (n = 28) demonstrated an average volume increase in segments II and III of 280 +/- 95 ml to 420 +/- 98 ml within 6 weeks after selective percutaneous- transhepatic embolization of the portal vein branches (IV)-V-VIII. Thus, an expanded right resection of the liver could be performed in all patients without major complications. None of the patients suffered from clinically relevant liver insufficiency within the first few postoperative months.
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Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
6_ODS3_enfermedades_notrasmisibles
Base de dados:
MEDLINE
Assunto principal:
Veia Porta
/
Embolização Terapêutica
/
Hepatectomia
/
Fígado
/
Cirrose Hepática
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
De
Revista:
Rofo
Ano de publicação:
2007
Tipo de documento:
Article