Management strategies in resection for carcinoma of the hepatic duct confluence: how to increase the resectability rate. Our experience and literature review.
The resectability rate of hilar bile duct carcinoma is reported to be variable and to inversely correlate with the size of the associated liver resection. In an attempt to reduce the risk of postoperative liver failure, the induction of a hypertrophy of remnant liver by preoperative portal vein embolization (PVE) has been proposed. We hereby analyse the results and the technical aspects of this procedure along with our personal experience.
Leone
N
N
Dipartimento di Gastroenterologia Ospedale Molinette, Corso Bramante 88, 10126 Torino, Italy.
De Paolis
P
P
Carrera
M
M
Pellicano
R
R
Actis
G C
GC
Fronda
G R
GR
Rizzetto
M
M
D001650:Bile Duct Neoplasms / Q000601:surgery*; D004621:Embolization, Therapeutic; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008875:Middle Aged; D011169:Portal Vein