ROENTGEN-ENDOVASCULAR EMBOLIZATION OF THE PORTAL VEIN BRANCHES AS A PATIENTS CONDITIONING FOR EXTENSIVE HEPATIC RESECTION

The results of surgical treatment of 316 patients, suffering focal hepatic diseases, in whom for preoperative preparation a portal vein embolization (PVE) was performed, were analyzed. PVE was applied in a small planned hepatic residual volume. The patients have aged from 21 to 77 yrs, (57 ± 10.6) y...

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Published in:Klinična hìrurgìâ (Kiïv) no. 4; p. 5
Main Authors: Kotenko, O G, Kondratyuk, V A, Fedorov, D A, Grinenko, A V, Korshak, A A, Gusev, A V, Popov, A O, Grigoryan, M S
Format: Journal Article
Language:Russian
Published: Ukraine 01.04.2015
Subjects:
Adult
Aged
Disease-Free Survival
Embolization, Therapeutic - methods
Embolization, Therapeutic - mortality
Female
Hepatectomy - methods
Hepatic Insufficiency - diagnostic imaging
Hepatic Insufficiency - mortality
Hepatic Insufficiency - pathology
Hepatic Insufficiency - surgery
Humans
Liver - blood supply
Liver - diagnostic imaging
Liver - pathology
Liver - surgery
Male
Middle Aged
Portal Vein - diagnostic imaging
Portal Vein - pathology
Portal Vein - surgery
Preoperative Care
Radiography
ISSN:0023-2130
Online Access:Get full text
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Summary:The results of surgical treatment of 316 patients, suffering focal hepatic diseases, in whom for preoperative preparation a portal vein embolization (PVE) was performed, were analyzed. PVE was applied in a small planned hepatic residual volume. The patients have aged from 21 to 77 yrs, (57 ± 10.6) yrs at average. During (22 ± 7) days after the procedure a hypertrophy of a planned postresectional hepatic volume by 58.6% was observed, while a hypertrophy degree have depended on the embolization volume performed: 57.3%--after embolization of branches of C(V)-C(VIII) hepatic segments, 66%--the segments C(V)-C(VIII) + C(IV). In 281 (89%) patients the extensive hepatic resection was performed, a fatal postresection hepatic insufficiency was not observed. A three-year and five-year disease-free survival have constituted 43.8 and 16.4% accordingly. Thus, a PVE constitutes a miniinvasive intervention, permitting to achieve a planned residual hepatic volume, to expand a diapazon of application of radical extensive hepatic resection in patients, suffering focal hepatic diseases while a small planned residual hepatic volume.
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ISSN:0023-2130