Portal Vein Embolization (PVE) and Partial TIPE ALPPS: Beyond the Limitations of PVE

2020 ◽  
pp. 611-616
Author(s):  
Yutaka Suzuki ◽  
Yoshihiro Sakamoto
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization

Portal vein embolization vs. portal vein ligation for induction of hypertrophy of the prospective remnant liver volume 705

2001 ◽  
Vol 120 (5) ◽  
pp. A90-A90
Author(s):  
C HILLERT ◽  
D BROERING ◽  
G KRUPSKI ◽  
M GUNDLACH ◽  
X ROGIERS
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization ◽  
Liver Volume ◽  
Portal Vein Ligation ◽  
Remnant Liver ◽  
Remnant Liver Volume

Portal Vein Embolization

2019 ◽  
Author(s):  
Shelly Brancatelli ◽  
Deb Van Nostran
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization

Improved Hypertrophy of Future Remnant Liver after Portal Vein Embolization with Plugs, Coils and Particles

2013 ◽  
Vol 37 (5) ◽  
pp. 1251-1258 ◽  
Author(s):  
Dominik Geisel ◽  
Maciej Malinowski ◽  
Maciej-Janusz Powerski ◽  
Joost Wüstefeld ◽  
Victoria Heller ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization ◽  
Remnant Liver ◽  
Future Remnant Liver

Is portal vein embolization safe and effective for patients with impaired liver function?

2021 ◽  
Author(s):  
Takaaki Konishi ◽  
Takeshi Takamoto ◽  
Takuya Hashimoto ◽  
Masatoshi Makuuchi
Keyword(s):  
Liver Function ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Impaired Liver Function ◽  
Impaired Liver

scholarly journals Surgical Strategy for Future Remnant Liver Hypertrophy: Portal Vein Embolization vs. Liver Venous Deprivation

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S46-S47
Author(s):  
M. Couto ◽  
F. Gianonne ◽  
B. Guiu ◽  
F. Navarro ◽  
F. Panaro
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization ◽  
Surgical Strategy ◽  
Remnant Liver ◽  
Future Remnant Liver

scholarly journals Oncological Outcomes after Liver Venous Deprivation for Colorectal Liver Metastases: A Single Center Experience

Cancers ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 200
Author(s):  
Salah Khayat ◽  
Gianluca Cassese ◽  
François Quenet ◽  
Christophe Cassinotto ◽  
Eric Assenat ◽  
...  
Keyword(s):  
Portal Vein ◽  
Liver Metastases ◽  
Portal Vein Embolization ◽  
Colorectal Liver Metastases ◽  
Future Liver Remnant ◽  
Small Sample ◽  
Right Hepatectomy ◽  
Liver Remnant ◽  
Oncological Outcomes ◽  
Extended Right Hepatectomy

Colorectal liver metastases (CRLM) are the major cause of death in patients with colorectal cancer (CRC). The cornerstone treatment of CRLM is surgical resection. Post-operative morbidity and mortality are mainly linked to an inadequate future liver remnant (FLR). Nowadays preoperative portal vein embolization (PVE) is the most widely performed technique to increase the size of the future liver remnant (FLR) before major hepatectomies. One method recently proposed to increase the FLR is liver venous deprivation (LVD), but its oncological impact is still unknown. The aim of this study is to report first short- and long-term oncological outcomes after LVD in patients undergoing right (or extended right) hepatectomy for CRLM. Seventeen consecutive patients undergoing LVD between July 2015 and May 2020 before an (extended) right hepatectomy were retrospectively analyzed from an institutional database. Post-operative and follow-up data were analyzed and reported. Primary outcomes were 1-year and 3-year overall survival (OS) and hepatic recurrence (HR). Postoperative complications occurred in 8 patients (47%). No deaths occurred after surgery. HR occurred in 9 patients (52.9%). 1-year and 3-year OS were 87% (95% confidence interval [CI]: ±16%) and 60.3%, respectively (95% CI: ±23%). Median Disease-Free Survival (DFS) was 6 months (CI 95%: 4.7–7.2). With all the limitations of a retrospective study with a small sample size, LVD showed similar oncological outcomes compared to literature reports for Portal Vein Embolization (PVE).

Safety and efficacy of right portal vein embolization in patients with prior left lateral liver resection

2021 ◽  
pp. 028418512110141
Author(s):  
Vincent Van den Bosch ◽  
Federico Pedersoli ◽  
Sebastian Keil ◽  
Ulf P Neumann ◽  
Christiane K Kuhl ◽  
...  
Keyword(s):  
Liver Function ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Liver Volume ◽  
Liver Function Tests ◽  
Complete Resection ◽  
Liver Remnant ◽  
Total Liver Volume ◽  
Function Tests ◽  
Staged Hepatectomy

Background In patients with bilobar metastatic liver disease, surgical clearance of both liver lobes may be achieved through multiple-stage liver resections. For patients with extensive disease, a major two-staged hepatectomy consisting of resection of liver segments II and III before right-sided portal vein embolization (PVE) and resection of segments V–VIII may be performed, leaving only segments IV ± I as the liver remnant. Purpose To describe the outcome following right-sided PVE after prior complete resection of liver segments II and III. Material and Methods In this retrospective study, 15 patients (mean age = 60.4 ± 9.3 years) with liver metastases from colorectal cancer (n = 14) and uveal melanoma (n = 1) who were scheduled to undergo a major two-stage hepatectomy, were included. Total liver volume (TLV) and volume of the future liver remnant (FLR) were measured on pre- and postinterventional computed tomography (CT) scans, and standardized FLR volumes (ratio FLR/TLV) were calculated. Patient data were retrospectively analyzed regarding peri- and postinterventional complications, with special emphasis on liver function tests. Results The mean standardized post-PVE FLR volume was 26.9% ± 6.4% and no patient developed hepatic insufficiency after the PVE. Based on FLR hypertrophy and liver function tests, all but one patient were considered eligible for the subsequent right-sided hepatectomy. However, due to local tumor progression, only 9/15 patients eventually proceeded to the second stage of surgery.   Conclusion Right-sided PVE was safe and efficacious in this cohort of patients who had previously undergone a complete resection of liver segments II and III as part of a major staged hepatectomy pathway leaving only segments IV(±I) as the FLR. 

scholarly journals An observational study to determine volume changes in the functional liver remnant following portal vein embolization

JGH Open ◽  
2021 ◽  
Author(s):  
Vikrant Dhurandhar ◽  
Richard Waugh ◽  
Sulman Ahmed ◽  
Suchitra Mantrala ◽  
Joga Chaganti
Keyword(s):  
Observational Study ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Volume Changes ◽  
Liver Remnant

scholarly journals Portal Vein Normal Anatomy and Variants: Implication for Liver Surgery and Portal Vein Embolization

2008 ◽  
Vol 25 (2) ◽  
pp. 086-091 ◽  
Author(s):  
Sabine Schmidt ◽  
Nicolas Demartines ◽  
Luc Soler ◽  
Pierre Schnyder ◽  
Alban Denys
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization ◽  
Liver Surgery ◽  
Normal Anatomy

Preoperative portal vein embolization: is it useful?

2004 ◽  
Vol 11 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Tadatoshi Takayama ◽  
Masatoshi Makuuchi
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization
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