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Sequential Portal Vein Embolization: a Technical Option for Hepatic Metastasis Resection

  • Surgical Techniques and Innovations
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Abstract

We present the clinical case of a patient who, having been referred for surgery on two-stage hepatectomy, could not have a conventional portal embolization performed as an intermediate step in order to be able to resection the whole of the hepatic illness she was suffering. During right portal embolization (PE), the portography revealed minimal flow in the left portal vein, without thrombosis or stenosis. Given the risk of serious hepatic insufficiency, the embolization procedure was ruled out. Our option was to perform a portal embolization in two stages: initial PE of the right posterior branch, and subsequently, right anterior branch PE. After that, the liver resection could be completed.

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Authors and Affiliations

  1. Department of Surgery, Hospital of Elda, Carretera de Sax s/n, 03600, Elda, Alicante, Spain

    Carmen Lama & Carlos Parada

  2. Department of Radiology, Hospital of Elda, Elda, Alicante, Spain

    Juan R. Artacho

  3. Department of Radiology, Hospital General de Alicante, Alicante, Spain

    David Contreras & Santiago Gil

Authors
  1. Carmen Lama
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  2. Carlos Parada
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  3. Juan R. Artacho
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  4. David Contreras
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  5. Santiago Gil
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Correspondence to Carmen Lama.

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The authors declare that they have no conflict of interest.

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Lama, C., Parada, C., Artacho, J.R. et al. Sequential Portal Vein Embolization: a Technical Option for Hepatic Metastasis Resection. Indian J Surg 82, 924–926 (2020). https://doi.org/10.1007/s12262-020-02137-7

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  • DOI: https://doi.org/10.1007/s12262-020-02137-7

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