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KMID : 0354419940220030113
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Medical Postgraduate
1994 Volume.22 No. 3 p.113 ~ p.116
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Extension of Surgical Indication for Hepatocellular Carcinoma by PrePerative Pertal Vein Embolization
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Abstract
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A limited liver functional reserve secondary to chronic hepatitis and /or cirrhosis is considered as a contra-indication of extensive liver resection because of the risk of postoperative liver failure.
In an attempt to overcome this distressing complication, preoperative portal vein embolization (P VE) was attempted to induce atrophy of the embolized part of the liver (resecting lobe) with compensatory hypertrophy of the non-embolized part(remaining lobe).
A cirrhotic patient with HCC who had a limited liver function to withstand a right trisegmentectorny of, liver successfully underwent such an extensive operation after selective embolization of right portal branch.
This experience supports that I´VE is ´a reliable preoperative management to decrease the risk of liver failure in a patient with limited liver functional reserve in whom extensive hepatic re-section is needed.
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