[Roentgeno-endovascular surgery of tumoral and traumatic injuries of the liver].
In 17 patients with primary and metastatic hepatic cancer there was performed roentgenoendovascular occlusion (REO) of a. hepatica propria using fine disperse embolizing substances. In 30 patients regional infusion therapy (RITH) was conducted using preparations of platinum. In 11 patients REO was performed, and than--RITH. Chemical embolization of a. hepatica propria using cisplatinum in 200 mg dose, suspensed in 12 ml of mayodil or ethiotrast was done in 12 patients. The survival index for patients, to whom REO was conducted, had constituted at average (15.3 +/- 3.3) months, RITH--(14.4 +/- 2.6) months, REO and RITH--(20.6 +/- 3.2) months, chemical embolization--(18.3 +/- 1.5) months. REO of a. hepatica propria was conducted also to the patients with posttraumatic hemobilia. Of 16 examined patients REO using polyurethane emboli 2-2.5 mm in diameter was conducted in 14, in 2 trans-hepatic injection of ethanol in the pseudoaneurysm cavity was applied. Hemorrhage was stopped in all the patients. In 1 patient in 3 months after REO conduction recurrency occurred, which was eliminated by repeated REO. REO of tumoral and traumatic hepatic affection constitutes an effective miniinvasive method when operative intervention is ineffective or not possible to perform.
Nikishin
L F
LF
Kondratiuk
V A
VA
D016145:Endoscopy, Digestive System / Q000379:methods*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D011859:Radiography