1. [Results of preoperative embolization of portal vein in patients with biliary hepatic tumors].
- Author
-
Kotenko OG, Kondratiuk VA, Fedorov DA, Grinenko AV, Korshak AA, Gusev AV, Popov AO, and Grigorian MS
- Subjects
- Bile Ducts pathology, Bile Ducts surgery, Biliary Tract Neoplasms blood supply, Biliary Tract Neoplasms pathology, Carcinoma, Hepatocellular blood supply, Carcinoma, Hepatocellular pathology, Cholangiocarcinoma blood supply, Cholangiocarcinoma pathology, Female, Gallbladder pathology, Gallbladder surgery, Humans, Klatskin Tumor blood supply, Klatskin Tumor pathology, Liver pathology, Liver surgery, Liver Neoplasms blood supply, Liver Neoplasms pathology, Male, Middle Aged, Portal Vein, Preoperative Care, Treatment Outcome, Biliary Tract Neoplasms surgery, Carcinoma, Hepatocellular surgery, Cholangiocarcinoma surgery, Embolization, Therapeutic, Hepatectomy methods, Klatskin Tumor surgery, Liver Neoplasms surgery
- Abstract
The results of preoperative embolization of portal vein (EPV) in 90 patients, operated on for biliary hepatic tumors, were analyzed. In 47 patients Klatskin tumor was revealed, in 29--peripheral cholangiocarcinoma, in 14--tumor of a gallbladder. In all the patients a radical major hepatic resection was planned, a checking hepatic volume (CHHV) did not exceed 40% of a noninvolved parenchyma. The EPV volume have corresponded generally to the planned resection volume. After performance of EPV a pressure in a portal vein have risen by 75%, and later it have had lowered step by step during 24 h. The CHHV index have raised from (354 +/- 72) up to (462 +/- 118) cm3, or from (33 +/- 7) up to (45 +/- 11)%, permitting to perform radical hepatic resection in 79 (87.8%) patients. Thus, application of EPV in patients, suffering biliary hepatic tumors, have permitted to increase the CHHV index after radical resection, and to raise resectability of such tumors.
- Published
- 2014