Abstract
Portal vein embolization (PVE) is a method for selectively embolizing a branch of the portal vein, changing the hemodynamics of the portal vein, or increasing portal vein flow in a non-embolized liver lobe, resulting in non-embolized lobe regeneration and embolized lobe atrophy. Due to its beneficial effects with respect to liver volume and function, the complication rates of major hepatectomy have been reduced, and surgical options have been brought to patients with future liver remnant (FLR) that are insufficient for a direct operation. This pre-hepatectomy procedure has therefore been widely utilized in the context of major hepatectomy (Fig. 25.1) [1–3].
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References
Makuuchi M, Thai BL, Takayasu K, et al. Preoperative portal embolization to increase safety of major hepatectomy for hilar bile duct carcinoma: a preliminary report [J]. Surgery. 1990;107(5):521–7.
Abulkhir A, Limongelli P, Healey AJ, et al. Preoperative portal vein embolization for major liver resection. A meta-analysis [J]. Ann Surg. 2008;247(1):49–57.
Abdalla EK, Hicks ME, Vauthey JN. Portal vein embolization: rationale, technique and future prospects [J]. Br J Surg. 2001;88(2):165–75.
Wakabayashi H, Ishimura K, Okano K, et al. Is preoperative portal vein embolization effective in improving prognosis after major hepatic resection in patient with advanced-stage hepatocellular carcinoma? [J]. Cancer. 2001;92(9):2384–90.
Tanaka H, Hirohashi K, Kubo S, et al. Preoperative portal vein embolization improves prognosis after right hepatectomy for hepatocellular carcinoma in patients with impaired hepatic function [J]. Br J Surg. 2000;87(7):879–82.
Kokudo N, Makuuchi M. Current role of portal vein embolization/hepatic artery chemoembolization [J]. Surg Clin North Am. 2004;84(2):643–57.
Ratti F, Soldati C, Catena M, et al. Role of portal vein embolization in liver surgery: single centre experience in sixty-two patients [J]. Updates Surg. 2010;62(3/4):153–9.
Avritscher R, de Baere T, Murthy R, et al. Percutaneous transhepatic portal vein embolization: rationale, technique, and outcomes [J]. Semin Intervent Radiol. 2008;25(2):132–45.
Ishizawa T, Hasegawa K, Sano K. Selective versus total biliary drainage for obstructive jaundice caused by a hepatobiliary malignancy [J]. Am J Surg. 2007;193(2):149–54.
Palavecino M, Abdalla EK, Madoff DC, et al. Portal vein embolization in hilar cholangiocarcinoma [J]. Surg Oncol Clin N Am. 2009;18(2):257–67.
Hong YK, Choi SB, Lee KH, et al. The efficacy of portal vein embolization prior to right extended hemihepatectomy for hilar cholangiocellular carcinoma: a retrospective cohort study [J]. Eur J Surg Oncol. 2011;37(3):237–44.
Di Stefano DR, de Baere T, Denys A, et al. Preoperative percutaneous portal vein embolization: evaluation of adverse events in 188 patients [J]. Radiology. 2005;234(2):625–30.
Madoff DC, Abdalla EK, Vauthey JN. Portal vein embolization in preparation for major hepatic resection: evolution of a new standard of care [ J]. J Vasc Interv Radiol. 2005;16(6):779–90.
Chaoliu D, Zheng G, Changjun J, Feng X, Songlin P, Chuang Z, Feng W, Zaiming L. Application value of preoperative portal vein embolization for type IV hilar cholangiocarcinoma [J]. Chinese J Pract Surg. 2012;11(32):924–7.
Kio K, Mitsui G. Digestive surgery now in Chinese[M]. Peking: People’s Medical Publishing House; 2011. p. 127–40.
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Wu, H., Zeng, Y., Li, J., Hao, J. (2016). Application of PVE in Hepatic Surgery. In: Yan, L. (eds) Operative Techniques in Liver Resection. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7411-6_25
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DOI: https://doi.org/10.1007/978-94-017-7411-6_25
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