Percutaneous Preoperative Portal Vein Embolization Using a Combination of Gelatin Sponge and Histoacryl Glue
Background: Inadequate remnant liver volume is a major cause of postoperative liver failure. Preoperative portal vein embolization (PVE) is used clinically to prevent postoperative liver insufficiency. Purpose: To evaluate the efficacy and safety of preoperative portal vein embolization, by using a...
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| Veröffentlicht in: | Acta radiologica (1987) 2009-12, Vol.50 (10), p.1119-1125 |
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| creator | Bae, Ji Hea Kim, Kab Cheol Ryeom, Hyeun Kue |
| description | Background: Inadequate remnant liver volume is a major cause of postoperative liver failure. Preoperative portal vein embolization (PVE) is used clinically to prevent postoperative liver insufficiency.
Purpose: To evaluate the efficacy and safety of preoperative portal vein embolization, by using a combination of gelatin sponge and histoacryl to induce hypertrophy of future liver remnant (FLR) in patients with a hepatobiliary malignancy.
Material and Methods: PVE using a combination of gelatin sponge and histoacryl glue was performed in 11 patients (nine men, two women; mean age 60 years, range 46-70 years). These patients were diagnosed with a hepatobiliary malignancy before surgery and their FLR volumes were judged as insufficient to allow for safe resection (FLR |
| doi_str_mv | 10.3109/02841850903258041 |
| format | Article |
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Purpose: To evaluate the efficacy and safety of preoperative portal vein embolization, by using a combination of gelatin sponge and histoacryl to induce hypertrophy of future liver remnant (FLR) in patients with a hepatobiliary malignancy.
Material and Methods: PVE using a combination of gelatin sponge and histoacryl glue was performed in 11 patients (nine men, two women; mean age 60 years, range 46-70 years). These patients were diagnosed with a hepatobiliary malignancy before surgery and their FLR volumes were judged as insufficient to allow for safe resection (FLR <25% in patients with a normal liver or FLR <40% in patients with a chronic liver disease). Liver volume changes, levels of biochemical markers, complications related to PVE, and postoperative complications were retrospectively evaluated.
Results: PVE was successful in all patients, and there were no procedural complications. The enlargement of nonembolized liver lobe was 30% (mean 118 cm3). A planned hepatectomy was cancelled in four patients due to the presence of a late-detected extrahepatic metastasis. Seven of the 11 patients underwent hepatectomy without complications.
Conclusion: Preoperative PVE with a combination of gelatin sponge and histoacryl glue is a safe and effective procedure to induce hypertrophy of nonembolized parts of the liver.</description><identifier>ISSN: 0284-1851</identifier><identifier>EISSN: 1600-0455</identifier><identifier>DOI: 10.3109/02841850903258041</identifier><identifier>PMID: 19922308</identifier><identifier>CODEN: ACRAE3</identifier><language>eng</language><publisher>London, England: Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</publisher><subject>Aged ; Biological and medical sciences ; Carcinoma, Hepatocellular - therapy ; Contrast Media ; Embolization, Therapeutic - methods ; Enbucrilate - therapeutic use ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gelatin - therapeutic use ; Hepatectomy ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Liver Function Tests ; Liver Neoplasms - therapy ; Liver, biliary tract, pancreas, portal circulation, spleen ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Portal Vein ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Tomography, Spiral Computed ; Treatment Outcome ; Tumors</subject><ispartof>Acta radiologica (1987), 2009-12, Vol.50 (10), p.1119-1125</ispartof><rights>Informa UK Ltd 2009</rights><rights>Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c487t-469fc7a8df44b0db6d7066544edc80d2a66ca3ff11fed3bcbafeaca740b464113</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/02841850903258041$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/02841850903258041$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,61194,61375</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22173489$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19922308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bae, Ji Hea</creatorcontrib><creatorcontrib>Kim, Kab Cheol</creatorcontrib><creatorcontrib>Ryeom, Hyeun Kue</creatorcontrib><title>Percutaneous Preoperative Portal Vein Embolization Using a Combination of Gelatin Sponge and Histoacryl Glue</title><title>Acta radiologica (1987)</title><addtitle>Acta Radiol</addtitle><description>Background: Inadequate remnant liver volume is a major cause of postoperative liver failure. Preoperative portal vein embolization (PVE) is used clinically to prevent postoperative liver insufficiency.
Purpose: To evaluate the efficacy and safety of preoperative portal vein embolization, by using a combination of gelatin sponge and histoacryl to induce hypertrophy of future liver remnant (FLR) in patients with a hepatobiliary malignancy.
Material and Methods: PVE using a combination of gelatin sponge and histoacryl glue was performed in 11 patients (nine men, two women; mean age 60 years, range 46-70 years). These patients were diagnosed with a hepatobiliary malignancy before surgery and their FLR volumes were judged as insufficient to allow for safe resection (FLR <25% in patients with a normal liver or FLR <40% in patients with a chronic liver disease). Liver volume changes, levels of biochemical markers, complications related to PVE, and postoperative complications were retrospectively evaluated.
Results: PVE was successful in all patients, and there were no procedural complications. The enlargement of nonembolized liver lobe was 30% (mean 118 cm3). A planned hepatectomy was cancelled in four patients due to the presence of a late-detected extrahepatic metastasis. Seven of the 11 patients underwent hepatectomy without complications.
Conclusion: Preoperative PVE with a combination of gelatin sponge and histoacryl glue is a safe and effective procedure to induce hypertrophy of nonembolized parts of the liver.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - therapy</subject><subject>Contrast Media</subject><subject>Embolization, Therapeutic - methods</subject><subject>Enbucrilate - therapeutic use</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gelatin - therapeutic use</subject><subject>Hepatectomy</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Liver Function Tests</subject><subject>Liver Neoplasms - therapy</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Portal Vein</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Tomography, Spiral Computed</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>0284-1851</issn><issn>1600-0455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9r3DAQxUVpaLZpP0AvRZfSk5ORJf-jp7Kkm0AgC216NWN5tFGQpa1kB9JPXy9emkOh5DTDzO_NYx5jHwScSwHNBeS1EnUBDci8qEGJV2wlSoAMVFG8ZqvDPpsBccrepvQAIPKqEG_YqWiaPJdQr5jbUtTTiJ7ClPg2UthTxNE-Et-GOKLjP8l6fjl0wdnf8yJ4fpes33Hk6zB01i-zYPiG3Nx7_n0f_I44-p5f2TQG1PHJ8Y2b6B07MegSvT_WM3b37fLH-iq7ud1cr7_eZFrV1ZipsjG6wro3SnXQd2VfQVkWSlGva-hzLEuN0hghDPWy0x0aQo2Vgk6VSgh5xj4vd_cx_Jooje1gkybnljfbSsqiEbJqZlIspI4hpUim3Uc7YHxqBbSHjNt_Mp41H4_Xp26g_llxDHUGPh0BTBqdiei1TX-5PBeVVPXB_HzhEu6ofQhT9HMq_3X-sgisNyEOeE_oxnuN8UXqP9R5pTU</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Bae, Ji Hea</creator><creator>Kim, Kab Cheol</creator><creator>Ryeom, Hyeun Kue</creator><general>Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</general><general>SAGE Publications</general><general>Royal Society of Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200912</creationdate><title>Percutaneous Preoperative Portal Vein Embolization Using a Combination of Gelatin Sponge and Histoacryl Glue</title><author>Bae, Ji Hea ; Kim, Kab Cheol ; Ryeom, Hyeun Kue</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c487t-469fc7a8df44b0db6d7066544edc80d2a66ca3ff11fed3bcbafeaca740b464113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Hepatocellular - therapy</topic><topic>Contrast Media</topic><topic>Embolization, Therapeutic - methods</topic><topic>Enbucrilate - therapeutic use</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gelatin - therapeutic use</topic><topic>Hepatectomy</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Liver Function Tests</topic><topic>Liver Neoplasms - therapy</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Portal Vein</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Tomography, Spiral Computed</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bae, Ji Hea</creatorcontrib><creatorcontrib>Kim, Kab Cheol</creatorcontrib><creatorcontrib>Ryeom, Hyeun Kue</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta radiologica (1987)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bae, Ji Hea</au><au>Kim, Kab Cheol</au><au>Ryeom, Hyeun Kue</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous Preoperative Portal Vein Embolization Using a Combination of Gelatin Sponge and Histoacryl Glue</atitle><jtitle>Acta radiologica (1987)</jtitle><addtitle>Acta Radiol</addtitle><date>2009-12</date><risdate>2009</risdate><volume>50</volume><issue>10</issue><spage>1119</spage><epage>1125</epage><pages>1119-1125</pages><issn>0284-1851</issn><eissn>1600-0455</eissn><coden>ACRAE3</coden><abstract>Background: Inadequate remnant liver volume is a major cause of postoperative liver failure. Preoperative portal vein embolization (PVE) is used clinically to prevent postoperative liver insufficiency.
Purpose: To evaluate the efficacy and safety of preoperative portal vein embolization, by using a combination of gelatin sponge and histoacryl to induce hypertrophy of future liver remnant (FLR) in patients with a hepatobiliary malignancy.
Material and Methods: PVE using a combination of gelatin sponge and histoacryl glue was performed in 11 patients (nine men, two women; mean age 60 years, range 46-70 years). These patients were diagnosed with a hepatobiliary malignancy before surgery and their FLR volumes were judged as insufficient to allow for safe resection (FLR <25% in patients with a normal liver or FLR <40% in patients with a chronic liver disease). Liver volume changes, levels of biochemical markers, complications related to PVE, and postoperative complications were retrospectively evaluated.
Results: PVE was successful in all patients, and there were no procedural complications. The enlargement of nonembolized liver lobe was 30% (mean 118 cm3). A planned hepatectomy was cancelled in four patients due to the presence of a late-detected extrahepatic metastasis. Seven of the 11 patients underwent hepatectomy without complications.
Conclusion: Preoperative PVE with a combination of gelatin sponge and histoacryl glue is a safe and effective procedure to induce hypertrophy of nonembolized parts of the liver.</abstract><cop>London, England</cop><pub>Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</pub><pmid>19922308</pmid><doi>10.3109/02841850903258041</doi><tpages>7</tpages></addata></record> |
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| source | Taylor & Francis:Master (3349 titles); MEDLINE |
| subjects | Aged Biological and medical sciences Carcinoma, Hepatocellular - therapy Contrast Media Embolization, Therapeutic - methods Enbucrilate - therapeutic use Female Gastroenterology. Liver. Pancreas. Abdomen Gelatin - therapeutic use Hepatectomy Humans Investigative techniques, diagnostic techniques (general aspects) Liver Function Tests Liver Neoplasms - therapy Liver, biliary tract, pancreas, portal circulation, spleen Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Portal Vein Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Tomography, Spiral Computed Treatment Outcome Tumors |
| title | Percutaneous Preoperative Portal Vein Embolization Using a Combination of Gelatin Sponge and Histoacryl Glue |
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