Portal vein embolization with different embolic agents for right hepatectomy

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dc.contributor.authorPeynircioğlu, Bora
dc.contributor.authorÇil, Barbaros
dc.contributor.authorÖzkan, Fuat
dc.contributor.authorKoç, Osman
dc.contributor.authorAkıncı, Devrim
dc.contributor.authorAbbasoğlu, Osman
dc.contributor.authorHamaloğlu, Erhan
dc.date.accessioned2020-03-26T18:31:04Z
dc.date.available2020-03-26T18:31:04Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground/aims: We aimed to retrospectively evaluate our experience in portal vein embolization that induces hypertrophy of the future liver remnant before right hepatectomy and to determine the differences in outcome with respect to the embolic agents used. Methods: Twenty right portal vein embolization procedures performed in our institution between 2004 and 2009 were reviewed in this study. The average patient age was 59 years (range: 45-72 years). Embolization was performed through a right portal vein percutaneous access with use of the combination of several agents. Computed tomography volumetry was performed before and 4-6 weeks after the procedure to measure total liver volume and future liver remnant. Results: There was no major complication related to the embolization procedures. After embolization, future liver remnant total liver volume ratio increased to 12.7%, which was statistically significant. No significant difference was noted in hypertrophic outcomes between alcohol and the other embolic agents. Although five patients had sufficient future liver remnant, they did not undergo subsequent hepatectomy for a variety of reasons. Conclusions: According to our results, the mean increase in the size of the future liver remnant was greater than reported in previous studies of portal vein embolization. Despite the limited patient number of our study, we believe that portal vein embolization is helpful especially in gray-zone patients who may be a good candidate for surgical resection and thus possible cure. However, randomized, controlled studies with hypertrophy-inducing agents are needed.en_US
dc.identifier.citationPeynircioğlu B., Çil B., Özkan F., Koç O., Akıncı D., Abbasoğlu O., Hamaloğlu E, (2012). Portal vein embolization. TURKISH JOURNAL OF GASTROENTEROLOGY, 23(2), 148-155.
dc.identifier.doi10.4318/tjg.2012.0313en_US
dc.identifier.endpage155en_US
dc.identifier.issn1300-4948en_US
dc.identifier.issn2148-5607en_US
dc.identifier.issue2en_US
dc.identifier.pmid22706743en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage148en_US
dc.identifier.urihttps://dx.doi.org/10.4318/tjg.2012.0313
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28315
dc.identifier.volume23en_US
dc.identifier.wosWOS:000305049300008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAVESen_US
dc.relation.ispartofTURKISH JOURNAL OF GASTROENTEROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectPortal vein embolizationen_US
dc.subjectliveren_US
dc.subjectcomputed tomographyen_US
dc.titlePortal vein embolization with different embolic agents for right hepatectomyen_US
dc.typeArticleen_US

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