Optimizing future remnant liver prior to major hepatectomies: increasing volume while decreasing morbidity and mortality
| Autor: | Giuliano Testa, Hoylan Fernandez, Silvio Nadalin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Standard of care business.industry medicine.medical_treatment Liver failure Portal vein ligation 030230 surgery Surgery Remnant liver 03 medical and health sciences Editorial 0302 clinical medicine 030220 oncology & carcinogenesis Portal vein embolization medicine Hepatectomy business Complication |
| Zdroj: | Hepatobiliary Surg Nutr |
| ISSN: | 2304-389X 2304-3881 |
| Popis: | Post hepatectomy liver failure (PHLF) remains the most dreaded complication in major hepatectomies. Adequate future remnant liver (FRL) plays a pivotal role in prevention of PHLF. Pre-operative portal vein embolization (PVE) has become standard of care for increasing the FRL in preparation for major hepatectomies. Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) has also been used, though has demonstrated a substantial risk of morbidity and mortality. However, there are many situations in which PVE achieves an inadequate extent of hypertrophy, potential increasing the risk of PHLF. |
| Databáze: | OpenAIRE |
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