Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Bellemann, N; Stampfl, U; Sommer, CM; Kauczor, HU; Schemmer, P; Radeleff, BA.
Portal vein embolization using a Histoacryl/Lipiodol mixture before right liver resection.
Dig Surg. 2012; 29(3):236-242
Doi: 10.1159/000339748
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Schemmer Peter
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- The purpose of this retrospective study was to evaluate the efficacy and safety of percutaneous transhepatic portal vein embolization (PVE) of the right liver lobe using Histoacryl/Lipiodol mixture to induce contralateral liver hypertrophy before right-sided (or extended right-sided) hepatectomy in patients with primarily unresectable liver tumors. Twenty-one patients (9 females and 12 males) underwent PVE due to an insufficient future liver remnant; 17 showed liver metastases and 4 suffered from biliary cancer. Imaging was performed prior to and 4 weeks after PVE. Surgery was scheduled for 1 week after a CT or MRI control. The primary study end point was technical success, defined as complete angiographical occlusion of the portal vein. The secondary study end point was evaluation of liver hypertrophy by CT and MRI volumetry and transfer to operability. In all the patients, PVE could be performed with a Histoacryl/Lipiodol mixture (n = 20) or a Histoacryl/Lipiodol mixture with microcoils (n = 1). No procedure-related complications occurred. The volume of the left liver lobe increased significantly (p < 0.0001) by 28% from a mean of 549 ml to 709 ml. Eighteen of twenty-one patients (85.7%) could be transferred to surgery, and the intended resection could be performed as planned in 13/18 (72.3%) patients. Preoperative right-sided PVE using a Histoacryl/Lipiodol mixture is a safe technique and achieves a sufficient hypertrophy of the future liver remnant in the left liver lobe. Copyright © 2012 S. Karger AG, Basel.
- Find related publications in this database (using NLM MeSH Indexing)
- Adaptation, Physiological -
- Adult -
- Aged -
- Aged, 80 and over -
- Antineoplastic Agents - administration & dosage
- Embolization, Therapeutic -
- Enbucrilate - administration & dosage
- Ethiodized Oil - administration & dosage
- Female -
- Gastrinoma - secondary
- Gastrinoma - surgery
- Hepatectomy -
- Hepatomegaly - radiography
- Humans -
- Liver - anatomy & histology
- Liver - physiology
- Liver - radiography
- Liver Neoplasms - secondary
- Liver Neoplasms - surgery
- Liver Neoplasms - therapy
- Magnetic Resonance Imaging -
- Male -
- Middle Aged -
- Neuroendocrine Tumors - secondary
- Neuroendocrine Tumors - surgery
- Organ Size -
- Portal Vein - radiography
- Preoperative Care -
- Retrospective Studies -
- Statistics, Nonparametric -
- Tissue Adhesives - administration & dosage
- Find related publications in this database (Keywords)
- Portal vein embolization
- Histoacryl/Lipiodol mixture
- Liver lobe volume