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Date Published: 05/01/2022
Abstract Views: 398
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DOI: https://doi.org/10.51298/vmj.v508i1.1556
Issue
Vol. 508 No. 1 (2021)
Section
Các bài báo
How to Cite
Thanh Dũng, L. ., Văn Sỹ, T. ., Viết Khải, N. ., Xuân Hải, Đào ., & Quang Nghĩa, N. . (2022). SIMULTANEOUS PORTAL AND HEPATIC VEIN EMBOLIZATION BEFORE MAJOR LIVER RESECTION: A CASE REPORT. Vietnam Medical Journal, 508(1). https://doi.org/10.51298/vmj.v508i1.1556

SIMULTANEOUS PORTAL AND HEPATIC VEIN EMBOLIZATION BEFORE MAJOR LIVER RESECTION: A CASE REPORT

Lê Thanh Dũng1, Thân Văn Sỹ1,, Ninh Viết Khải2, Đào Xuân Hải1, Nguyễn Quang Nghĩa2
1 Vietnam-Germany Friendship Hospital
2 Organ Transplant Centre, Vietnam-Germany Friendship Hospital

Main Article Content

Abstract

Simultaneous portal hepatic vein embolization (LVD) has been widely applied in recent years because of significantly increasing the rate and degree of liver hypertrophy in comparison with portal venous embolization (PVE) before major hepatectomy. So that, LVD brings the shortening waiting time for surgery and reducing the risk of tumor progression. We report a case where LVD was performed before major hepatectomy due to intrahepatic cholangiocarcinoma. The patient then had a significant increase in the future liver remnant (FLR) after 3 weeks. Major liver resection then was performed at 4 weeks after LVD without postoperative liver failure. From this clinical case, we found that LVD was highly effective in increasing FLR before major hepatectomy. This procedure could be a great alternative to PVE, especially in case of small initial FLR.

Article Details

Keywords

Portal vein embolization, hepatic vein embolization, major liver resection, cholangiocarcinoma

References

1. Rahbari N.N., Garden O.J., Padbury R. và cộng sự. (2011). Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery, 149(5), 713–724.
2. Van Lienden K.P., Van Den Esschert J.W., De Graaf W. và cộng sự. (2013). Portal vein embolization before liver resection: a systematic review. Cardiovascular and interventional radiology, 36(1), 25–34.
3. Le Roy B., Gallon A., Cauchy F. và cộng sự. (2020). Combined biembolization induces higher hypertrophy than portal vein embolization before major liver resection. HPB, 22(2), 298–305.
4. Kobayashi K., Yamaguchi T., Denys A. và cộng sự. (2020). Liver venous deprivation compared to portal vein embolization to induce hypertrophy of the future liver remnant before major hepatectomy: A single center experience. Surgery, 167(6), 917–923.
5. Guiu B., Quenet F., Escal L. và cộng sự. (2017). Extended liver venous deprivation before major hepatectomy induces marked and very rapid increase in future liver remnant function. European radiology, 27(8), 3343–3352.
6. Laurent C., Fernandez B., Marichez A. và cộng sự. (2020). Radiological simultaneous portohepatic vein embolization (RASPE) before major hepatectomy: a better way to optimize liver hypertrophy compared to portal vein embolization. Annals of Surgery, 272(2), 199–205.
7. Schnitzbauer A.A., Lang S.A., Goessmann H. và cộng sự. (2012). Right portal vein ligation combined with in situ splitting induces rapid left lateral liver lobe hypertrophy enabling 2-staged extended right hepatic resection in small-for-size settings. Annals of surgery, 255(3), 405–414.
8. Le Roy B., Dupré A., Gallon A. và cộng sự. (2018). Liver hypertrophy: Underlying mechanisms and promoting procedures before major hepatectomy. Journal of visceral surgery, 155(5), 393–401.
9. Lê Thanh Dũng (2018), Nghiên cứu áp dụng và đánh giá hiệu quả của phương pháp nút nhánh tĩnh mạch cửa gây phì đại gan trước phẫu thuật cắt gan, Luận án Tiến sĩ Y học, Đại học Y Hà Nội.