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322594

The impact of portal vein embolization on the future liver remanent prior to major hepatectomy surgery: a single center study

Article

Last updated: 01 Jan 2025

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Subjects

-

Tags

Radiodiagnosis

Abstract

Abstract

Objectives: Liver resection is the gold standard curative procedure for primary or secondary hepatobiliary cancers. It produces the best predictive results. An efficient technique carried out before substantial hepatic resection is portal vein embolization. Our study's purpose is to inquire about portal vein embolization (PVE) indications, patient selection criteria, technique, post-procedural problems, and clinical results prior to right hepatectomy.

Methods: 25 participants who underwent right portal vein embolization before partial hepatectomy between May 2019 and June 2022 were the subjects of this retrospective analysis. Following the diagnosis of hepatic respectability, all participants were admitted for PVE. The selection criteria involved the accessibility of patient records. Records were analyzed. Excluded cases were those future liver remnants (FLR) prior to and following PVE, or hypertrophy was not documented.

Results: 72% of RPVE was carried out on patients with hepatocellular carcinoma. A large percentage of patients (88%) had definitive surgical excision after PVE. Four participants (16%) experienced complications related to PVE. More severe consequences were also seen by three (12%) of the patients who underwent right hepatectomy, such as postoperative liver failure, bacteremia, and small intestine ischemia.

Conclusion: Preoperative PVE is an effective way to boost FLR volume and has an excellent technical and clinical success rate. This method increases the resectability of liver tumors that were previously deemed unsuitable for resection due to insufficient FLR volume.



Keywords: Portal vein embolization, future liver remanent, and polyvinyl alcohol particles.

DOI

10.21608/zumj.2023.237419.2902

Keywords

CT volumetry, hepatectomy, interventional radiology, and polyvinyl alcohol particles

Authors

First Name

Elshaimaa

Last Name

Mohamed

MiddleName

M.

Affiliation

Radiodiagnosis department faculty of medicine Zagazig university Zagazig Egypt

Email

bosy.radiology@gmail.com

City

Zagazig

Orcid

0000-0001-7295-9737

First Name

Ahmed

Last Name

Elaryan

MiddleName

-

Affiliation

Radiology consultant, International Medical Center Hospital,Saudia Arabia, Jeddah

Email

aelaryan@imc.med.sa

City

Saudia arabia, jeddah

Orcid

-

First Name

Turki

Last Name

Alhazmi

MiddleName

A.

Affiliation

Interventional consultant radiologist, Umm Al Qura University Faculty of medicine, Department of Medicine, Makkah, Saudi Arabia

Email

tahazmi@uqu.edu.sa

City

saudia arabia,Makkah

Orcid

0000-0002-8518-4026

First Name

Mohamed

Last Name

Zidan

MiddleName

Hamed

Affiliation

vascular surgery assistant professor. Surgery department, Zagazig university faculty of medicine, Zagazig, Ash Sharqia Governorate, Egypt.

Email

mzeidan1981@gmail.com

City

egypt , zagazig

Orcid

0000-0002-8964-8991

First Name

Ibrahim

Last Name

Eladl

MiddleName

M.

Affiliation

diagnostic radiology lecturer, Radiology department, Zagazig university faculty of medicine, Zagazig, Ash Sharqia Governorate, Egypt.

Email

dr.moritentes@gmail.com

City

zagazig egypt

Orcid

0000-0003-2011-3275

First Name

Mona

Last Name

Refaat

MiddleName

Mohammed

Affiliation

lecturer radiodiagnosis,faculty of medicine,zagazig university,egypt

Email

refaatmona96@gmail.com

City

zagazig

Orcid

-

First Name

Ahmed

Last Name

Alsowey

MiddleName

Mohamed

Affiliation

Radiodiagnosis Department; Faculty of medicine, Zagazig University, Egypt.

Email

ahmedalsowey@yahoo.com

City

Belbeis

Orcid

0009-0007-0159-4460

First Name

Mona Mahmoud

Last Name

Eladl

MiddleName

-

Affiliation

Lecturer of Radiology, Faculty of medicine, Zagazig University, Zagazig, Egypt.

Email

mona.eladl1@gmail.com

City

zagazig

Orcid

0000-0002-1270-7244

Volume

30

Article Issue

1.2

Related Issue

45958

Issue Date

2024-02-01

Receive Date

2023-09-19

Publish Date

2024-02-01

Page Start

371

Page End

380

Print ISSN

1110-1431

Online ISSN

2357-0717

Article File

ZUMJ_Volume 30_Issue 1.2_Pages 371-380.pdf

PDF . 1.3MB

Link

https://zumj.journals.ekb.eg/article_322594.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=322594

Order

322,594

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

The impact of portal vein embolization on the future liver remanent prior to major hepatectomy surgery: a single center study

Details

Type

Article

Created At

30 Dec 2024