Document Type : Original Article
Authors
1
Radiodiagnosis department faculty of medicine Zagazig university Zagazig Egypt
2
Radiology consultant, International Medical Center Hospital,Saudia Arabia, Jeddah
3
Interventional consultant radiologist, Umm Al Qura University Faculty of medicine, Department of Medicine, Makkah, Saudi Arabia
4
vascular surgery assistant professor. Surgery department, Zagazig university faculty of medicine, Zagazig, Ash Sharqia Governorate, Egypt.
5
diagnostic radiology lecturer, Radiology department, Zagazig university faculty of medicine, Zagazig, Ash Sharqia Governorate, Egypt.
6
lecturer radiodiagnosis,faculty of medicine,zagazig university,egypt
7
Radiodiagnosis Department; Faculty of medicine, Zagazig University, Egypt.
8
Lecturer of Radiology, Faculty of medicine, Zagazig University, Zagazig, Egypt.
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.
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