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KMID : 0371319950480010069
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Journal of the Korean Surgical Society
1995 Volume.48 No. 1 p.69 ~ p.76
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Preoperative PVE(Portal Vein Embolization)for Preparing Massive Liver Resection - Threat of Opportunith? -
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Abstract
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Massive liver resction may have high morbidity and mortality because of postoperative liver failure related to reduction of functioning liver mass. Preoperative PVE(Portal Vein Embolization) for preparation of massive liver resection induces
atrophy of
liver lobe to be resected and compensatory hypertrophy of remaining lobe.
From November 1992 to march 1994, 20 patients who underwent more tha right hepatic lobectomy were divided into PVE group and non-embolized group.
Complication and derangement of liver function after PVE was minimal compared to TAE and LFT retrns tonormal within 5days in all patients. Degree of atrophy of resection lobe and compensatory hypertrophy f remaining lobe was measured by
difference
of
angle between IVC and MHV from pre-PVE CT scan and post-PVE CT scan.
Liver Resection was performed average 17.4 days after PVE. In PVE group, peak level of serum bilirubin and transaminase after operation were lower and returned to normal range faster than non-embolized group. Preoperative PVE can be a good
opportunity
in patients who will undergo massive liver resection with marginal functional reserve of liver.
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