Preoperative portal vein embolization improves prognosis after right hepatectomy for hepatocellular carcinoma in patients with impaired hepatic function

• DOI: 10.1046/j.1365-2168.2000.01438.x
• Publication Date: 2003-03-11T07:15:13Z
• Authors: H Tanaka; K Hirohashi; S Kubo; T Shuto; I Higaki; H Kinoshita
• Keywords: Portal vein embolization; Hepatic function; Liver function

Percutaneous transhepatic portal vein embolization (PTPE) increases the safety of subsequent major hepatectomy. The aim this study was to determine effect PTPE on long-term prognosis after hepatectomy in patients with hepatocellular carcinoma (HCC).Seventy-one HCC underwent right between 1984 and 1998. Preoperative performed 33 (group 1) not used 38 2). Outcome operation compared groups. were further divided according median tumour diameter (cut-off 6 cm) indocyanine green retention rate at 15 min (ICGR15) 13 per cent).The cumulative survival significantly higher group 1 than 2 an ICGR15 least cent. Tumour-free rates similar both Of recurrence hepatectomy, those more frequently subjected treatment.Preoperative improves for impaired hepatic function, although it does prevent recurrence.