Embolisation portale et sus-hépatique combinée avant hépatectomie majeure [Preoperative liver venous deprivation]

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_743280F6B811
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Embolisation portale et sus-hépatique combinée avant hépatectomie majeure [Preoperative liver venous deprivation]
Journal
Revue medicale suisse
Author(s)
Martin D., Labgaa Ismail, Uldry E., Kobayashi K., Denys A., Halkic N., Demartines N., Melloul E.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
16/06/2021
Peer-reviewed
Oui
Volume
17
Number
743
Pages
1150-1154
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Some hepato-biliary cancers require major liver resections. Post hepatectomy liver failure is a complication that occurs when the remnant liver cannot maintain its synthetic and excretory functions. To overcome this issue, portal vein embolization has been developed to induce future remnant liver hypertrophy preoperatively. However, up to 20% of patients cannot proceed to the hepatectomy due to insufficient hypertrophy or tumor progression in the interval between the embolization and the planned surgery. Liver venous deprivation (LVD) is a technique that combine ipsilateral portal and hepatic vein embolization. With this technique, the hypertrophy seems to be faster and more important, with low complications rate and no mortality associated with the procedure.
Keywords
Embolization, Therapeutic, Hepatectomy, Hepatic Veins, Humans, Liver, Liver Neoplasms/surgery, Portal Vein, Preoperative Care, Treatment Outcome
Pubmed
Create date
29/06/2021 10:39
Last modification date
10/02/2024 7:14
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