Embolisation portale et sus-hépatique combinée avant hépatectomie majeure [Preoperative liver venous deprivation]
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16 juin 2021
- doi: 10.53738/REVMED.2021.17.743.1150
- issn: 1660-9379
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info:eu-repo/semantics/altIdentifier/doi/10.53738/REVMED.2021.17.743.1150
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info:eu-repo/semantics/altIdentifier/pmid/34133091
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info:eu-repo/semantics/altIdentifier/pissn/1660-9379
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_743280F6B8116
info:eu-repo/semantics/openAccess , CC BY-NC-ND 4.0 , https://creativecommons.org/licenses/by-nc-nd/4.0/
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D. Martin et al., « Embolisation portale et sus-hépatique combinée avant hépatectomie majeure [Preoperative liver venous deprivation] », Serveur académique Lausannois, ID : 10.53738/REVMED.2021.17.743.1150
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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.