Abstract
Preoperative portal embolization allows a reorientation of the portal vein flow from the segments to be resected towards the future liver remnant (FLR). This results in hypertrophy of the preserved segments and increase in the hepatic reserve. Thus, the number of patients eligible for an extended hepatic resection has increased, and the rate of postoperative complications has diminished.
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Perarnau JM, et al. Transjugular preoperative portal embolization (TJPE) a pilot study. Hepatogastroenterology. 2003;50(51):610–3.
Tsuge H, et al. Right portal embolization before extended right hepatectomy using laparoscopic catheterization of the ileocolic vein: a prospective study. Surg Laparosc Endosc. 1994;4(4):258–63.
Gibo M, et al. Percutaneous ipsilateral portal vein embolization using a modified four-lumen balloon catheter with fibrin glue: initial clinical experience. Radiat Med. 2007;25(4):164–72.
de Baere T, Denys A, Madoff DC. Preoperative portal vein embolization: indications and technical considerations. Tech Vasc Interv Radiol. 2007;10(1):67–78.
de Baere T, et al. Preoperative portal vein embolization for extension of hepatectomy indications. Hepatology. 1996;24(6):1386–91.
Madoff DC, et al. Transhepatic portal vein embolization: anatomy, indications, and technical considerations. Radiographics. 2002;22(5):1063–76.
Di Stefano DR, et al. Preoperative percutaneous portal vein embolization: evaluation of adverse events in 188 patients. Radiology. 2005;234(2):625–30.
Abulkhir A, et al. Preoperative portal vein embolization for major liver resection: a meta-analysis. Ann Surg. 2008;247(1):49–57.
Azoulay D, et al. Resection of nonresectable liver metastases from colorectal cancer after percutaneous portal vein embolization. Ann Surg. 2000;231(4):480–6.
Hemming AW, et al. Preoperative portal vein embolization for extended hepatectomy. Ann Surg. 2003;237(5):686–91, discussion 691–3.
Imamura H, et al. Preoperative portal vein embolization: an audit of 84 patients. Hepatology. 1999;29(4):1099–105.
Barbaro B, et al. Preoperative right portal vein embolization in patients with metastatic liver disease. Metastatic liver volumes after RPVE. Acta Radiol. 2003;44(1):98–102.
Elias D, et al. During liver regeneration following right portal embolization the growth rate of liver metastases is more rapid than that of the liver parenchyma. Br J Surg. 1999;86(6):784–8.
Kokudo N, et al. Proliferative activity of intrahepatic colorectal metastases after preoperative hemihepatic portal vein embolization. Hepatology. 2001;34(2):267–72.
de Graaf W, et al. Induction of tumor growth after preoperative portal vein embolization: is it a real problem? Ann Surg Oncol. 2009;16(2):423–30.
Aoki T, et al. Sequential preoperative arterial and portal venous embolizations in patients with hepatocellular carcinoma. Arch Surg. 2004;139(7):766–74.
Ogata S, et al. Sequential arterial and portal vein embolizations before right hepatectomy in patients with cirrhosis and hepatocellular carcinoma. Br J Surg. 2006;93(9):1091–8.
Yamakado K, et al. Long-term follow-up arterial chemoembolization combined with transportal ethanol injection used to treat hepatocellular carcinoma. J Vasc Interv Radiol. 1999;10(5):641–7.
Covey AM, et al. Combined portal vein embolization and neoadjuvant chemotherapy as a treatment strategy for resectable hepatic colorectal metastases. Ann Surg. 2008;247(3):451–5.
Goere D, et al. Chemotherapy does not impair hypertrophy of the left liver after right portal vein obstruction. J Gastrointest Surg. 2006;10(3):365–70.
Liu H, Zhu S. Present status and future perspectives of preoperative embolization. Am J Surg. 2009;197:686–90.
Jaeck D, et al. A two-stage hepatectomy procedure combined with portal vein embolization to achieve curative resection for initially unresectable multiple and bilobar colorectal liver metastases. Ann Surg. 2004;240(6):1037–49, discussion 1049–51.
Suggested Reading
Denys A, Bize P, Demartines N, Deschamps F, De Baere T. Quality improvement for portal vein embolization. Cardiovasc Intervent Radiol. 2010;33:452–6.
Madoff DC, et al. Transhepatic portal vein embolization: anatomy, indications, and technical considerations. Radiographics. 2002;22(5):1063–76.
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© 2014 Springer-Verlag London
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Chabrot, P. et al. (2014). Portal Vein Embolization. In: Chabrot, P., Boyer, L. (eds) Embolization. Springer, London. https://doi.org/10.1007/978-1-4471-5182-1_8
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DOI: https://doi.org/10.1007/978-1-4471-5182-1_8
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