Preoperative application of selective angiographic embolization in the treatment of focal nodular hyperplasia.
A focal nodular hyperplasia (FNH) rarely requires surgical intervention unless complications or clinical symptoms come into play. In 2 female patients, ages 35 and 44, with symptomatic tumors of that entity (10 and 14 cm, respectively, in size) we performed a laparoscopic liver resection. Directly before undergoing this operation they underwent a selective angiographic embolization of the arterial inflow for control of hemorrhage by application of polyvinyl alcohol particles to the afferent arteries. This procedure led to a complete interruption in arterial inflow and the subsequent laparoscopic resection itself could be carried out as planned with minimal blood loss as well an uncomplicated postoperative course. The patients demonstrated a high degree of subjective satisfaction with the procedure. A reduction in arterial inflow through selective embolization is a useful tool in the preparation for laparoscopic resection of large, well-vascularized liver tumors.
Wilhelm
Lutz
L
Department of Surgery, Ernst Moritz Arndt University, Greifswald, Germany. wilhelm@kkh-demmin.com
Albrecht
Lothar
L
Kirsch
Michael
M
Heidecke
Claus Dieter
CD
D000328:Adult; D015901:Angiography, Digital Subtraction; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D020518:Focal Nodular Hyperplasia / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D011142:Polyvinyl Alcohol / Q000627:therapeutic use; D011300:Preoperative Care
D011142:Polyvinyl Alcohol