Preoperative Transcatheter Embolization of the Portal Venous Branch for Patients Receiving Extended Lobectomy Due to the Bile Duct Carcinoma

Makuuchi, Masatoshi; Takayasu, Kenichi; Takuma, Tetsuo; Yamazaki, Susumu; Hasegawa, Hiroshi; Nishiura, Saburo; Shimamura, Yoshiyuki

doi:10.3919/ringe1963.45.1558

Cited by 92 publications

(94 citation statements)

References 3 publications

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“…Since its first clinical application in patients with hilar bile duct cancer to induce compensatory FLR hypertrophy (16), PVE has become a safe and effective procedure for preventing post-resection liver failure due to an insufficient liver remnant (8). Although the normal liver is known to tolerate removal of up to 60% of its volume (5), major hepatectomy in patients with chronic liver disease such as chronic hepatitis or liver cirrhosis is related to the risk of hepatic failure due to impaired liver regeneration (17).…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Effectiveness of Preoperative Portal Vein Embolization in Patients with Chronic Liver Disease: Gelfoam versus Gelfoam-Coil Combination

Shin

Chang

Choo

et al. 2015

J Korean Soc Radiol

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Section: Discussionmentioning

confidence: 99%

Comparison of the Effectiveness of Preoperative Portal Vein Embolization in Patients with Chronic Liver Disease: Gelfoam versus Gelfoam-Coil Combination

Shin

Chang

Choo

et al. 2015

J Korean Soc Radiol

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“…His anatomical observations involving the hypertrophy of one liver lobe, the atrophy of the other, and the separate portal systems of the right and left liver lobes set the scene for the advance arriving from Japan in 1984 when Makuuchi described the effects of portal venous embolization (PVE) in human clinical settings (35).…”

Section: Discussionmentioning

confidence: 99%

Methods to Reduce Liver Ischemia/Reperfusion Injury

Björnsson¹

2014

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“…In 1982, Makuuchi et al [70,71] were the first to apply PVE to prevent liver failure after extended hemihepatectomy in patients with hilar cholangiocarcinoma. Major hepatectomy results in massive reduction of the liver volume and a increase in portal pressure.…”

Section: Portal Vein Embolizationmentioning

confidence: 99%

Current surgical treatment for bile duct cancer

Seyama

Makuuchi²

2007

WJG

106

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Since extrahepatic bile duct cancer is difficult to diagnose and to cure, a safe and radical surgical strategy is needed. In this review, the modes of infiltration and spread of extrahepatic bile duct cancer and surgical strategy are discussed. Extended hemihepatectomy, with or without pancreatoduodenectomy (PD), plus extrahepatic bile duct resection and regional lymphadenectomy has recently been recognized as the standard curative treatment for hilar bile duct cancer. On the other hand, PD is the choice of treatment for middle and distal bile duct cancer. Major hepatectomy concomitant with PD (hepatopancreatoduodenectomy) has been applied to selected patients with widespread tumors. Preoperative biliary drainage (BD) followed by portal vein embolization (PVE) enables major hepatectomy in patients with hilar bile duct cancer without mortality. BD should be performed considering the surgical procedure, especially, in patients with separated intrahepatic bile ducts caused by hilar bile duct cancer. Right or left trisectoriectomy are indicated according to the tumor spread and biliary anatomy. As a result, extended radical resection offers a chance for cure of hilar bile duct cancer with improved resectability, curability, and a 5-year survival rate of 40%. A 5-year survival rate has ranged from 24% to 39% after PD for middle and distal bile duct cancer.

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Preoperative Transcatheter Embolization of the Portal Venous Branch for Patients Receiving Extended Lobectomy Due to the Bile Duct Carcinoma

Cited by 92 publications

References 3 publications

Comparison of the Effectiveness of Preoperative Portal Vein Embolization in Patients with Chronic Liver Disease: Gelfoam versus Gelfoam-Coil Combination

Comparison of the Effectiveness of Preoperative Portal Vein Embolization in Patients with Chronic Liver Disease: Gelfoam versus Gelfoam-Coil Combination

Methods to Reduce Liver Ischemia/Reperfusion Injury

Current surgical treatment for bile duct cancer

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