Preoperative Portal Vein Embolization for Major Liver Resection

2008 ◽  
Vol 247 (1) ◽  
pp. 49-57 ◽  
Author(s):  
Adel Abulkhir ◽  
Paolo Limongelli ◽  
Andrew J. Healey ◽  
Osama Damrah ◽  
Paul Tait ◽  
...  
Keyword(s):  
Liver Resection ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Major Liver Resection

scholarly journals Combined biembolization induces higher hypertrophy than portal vein embolization before major liver resection

HPB ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. 298-305 ◽  
Author(s):  
Bertrand Le Roy ◽  
Arnaud Gallon ◽  
Francois Cauchy ◽  
Bruno Pereira ◽  
Johan Gagnière ◽  
...  
Keyword(s):  
Liver Resection ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Major Liver Resection

scholarly journals Portal Vein Embolization is Associated with Reduced Liver Failure and Mortality in High-Risk Resections for Perihilar Cholangiocarcinoma

2020 ◽  
Vol 27 (7) ◽  
pp. 2311-2318 ◽  
Author(s):  
Pim B. Olthof ◽  
◽  
Luca Aldrighetti ◽  
Ruslan Alikhanov ◽  
Matteo Cescon ◽  
...  
Keyword(s):  
Liver Resection ◽  
Portal Vein ◽  
Liver Failure ◽  
Portal Vein Embolization ◽  
Future Liver Remnant ◽  
International Study ◽  
Perihilar Cholangiocarcinoma ◽  
Major Liver Resection ◽  
Biliary Leakage ◽  
Liver Remnant

Abstract Background Preoperative portal vein embolization (PVE) is frequently used to improve future liver remnant volume (FLRV) and to reduce the risk of liver failure after major liver resection. Objective This paper aimed to assess postoperative outcomes after PVE and resection for suspected perihilar cholangiocarcinoma (PHC) in an international, multicentric cohort. Methods Patients undergoing resection for suspected PHC across 20 centers worldwide, from the year 2000, were included. Liver failure, biliary leakage, and hemorrhage were classified according to the respective International Study Group of Liver Surgery criteria. Using propensity scoring, two equal cohorts were generated using matching parameters, i.e. age, sex, American Society of Anesthesiologists classification, jaundice, type of biliary drainage, baseline FLRV, resection type, and portal vein resection. Results A total of 1667 patients were treated for suspected PHC during the study period. In 298 patients who underwent preoperative PVE, the overall incidence of liver failure and 90-day mortality was 27% and 18%, respectively, as opposed to 14% and 12%, respectively, in patients without PVE (p < 0.001 and p = 0.005). After propensity score matching, 98 patients were enrolled in each cohort, resulting in similar baseline and operative characteristics. Liver failure was lower in the PVE group (8% vs. 36%, p < 0.001), as was biliary leakage (10% vs. 35%, p < 0.01), intra-abdominal abscesses (19% vs. 34%, p = 0.01), and 90-day mortality (7% vs. 18%, p = 0.03). Conclusion PVE before major liver resection for PHC is associated with a lower incidence of liver failure, biliary leakage, abscess formation, and mortality. These results demonstrate the importance of PVE as an integral component in the surgical treatment of PHC.

Re: Preoperative Portal Vein Embolization for Major Liver Resection

2008 ◽  
Vol 248 (3) ◽  
pp. 500
Author(s):  
A J. Healey ◽  
P Limogelli ◽  
L R. Jiao
Keyword(s):  
Liver Resection ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Major Liver Resection

M1549 Volumetric and Functional Recovery of the Remnant Liver After Major Liver Resection and Prior Portal Vein Embolization

2009 ◽  
Vol 136 (5) ◽  
pp. A-894
Author(s):  
Jacomina van den Esschert ◽  
Wilmar de Graaf ◽  
Krijn van Lienden ◽  
Olivier R. Busch ◽  
Dirk J. Gouma ◽  
...  
Keyword(s):  
Liver Resection ◽  
Portal Vein ◽  
Functional Recovery ◽  
Portal Vein Embolization ◽  
Remnant Liver ◽  
Major Liver Resection

Portal vein embolization prior to major liver resection

2012 ◽  
Vol 84 (5) ◽  
pp. 341-345 ◽  
Author(s):  
Samuel C. L. Kuo ◽  
Arash Azimi-Tabrizi ◽  
Gregory Briggs ◽  
Richard Maher ◽  
Timothy Harrington ◽  
...  
Keyword(s):  
Liver Resection ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Major Liver Resection

scholarly journals Oncological Outcomes of Major Liver Resection Following Portal Vein Embolization: A Systematic Review and Meta-analysis

2016 ◽  
Vol 23 (11) ◽  
pp. 3709-3717 ◽  
Author(s):  
Mariano Cesare Giglio ◽  
Alexandros Giakoustidis ◽  
Ahmed Draz ◽  
Zaynab A. R. Jawad ◽  
Madhava Pai ◽  
...  
Keyword(s):  
Systematic Review ◽  
Liver Resection ◽  
Portal Vein ◽  
Portal Vein Embolization ◽  
Meta Analysis ◽  
Major Liver Resection ◽  
Oncological Outcomes

scholarly journals Volumetric and Functional Recovery of the Remnant Liver After Major Liver Resection with Prior Portal Vein Embolization

2009 ◽  
Vol 13 (8) ◽  
pp. 1464-1469 ◽  
Author(s):  
Jacomina W. van den Esschert ◽  
Wilmar de Graaf ◽  
Krijn P. van Lienden ◽  
Olivier R. Busch ◽  
Michal Heger ◽  
...  
Keyword(s):  
Liver Resection ◽  
Portal Vein ◽  
Functional Recovery ◽  
Portal Vein Embolization ◽  
Remnant Liver ◽  
Major Liver Resection
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