title: [Results of preoperative embolization of portal vein in patients with biliary hepatic tumors].
abstract: The results of preoperative embolization of portal vein (EPV) in 90 patients, operated on for biliary hepatic tumors, were analyzed. In 47 patients Klatskin tumor was revealed, in 29--peripheral cholangiocarcinoma, in 14--tumor of a gallbladder. In all the patients a radical major hepatic resection was planned, a checking hepatic volume (CHHV) did not exceed 40% of a noninvolved parenchyma. The EPV volume have corresponded generally to the planned resection volume. After performance of EPV a pressure in a portal vein have risen by 75%, and later it have had lowered step by step during 24 h. The CHHV index have raised from (354 +/- 72) up to (462 +/- 118) cm3, or from (33 +/- 7) up to (45 +/- 11)%, permitting to perform radical hepatic resection in 79 (87.8%) patients. Thus, application of EPV in patients, suffering biliary hepatic tumors, have permitted to increase the CHHV index after radical resection, and to raise resectability of such tumors.
authors: O G
authors: OG
authors: Kotenko
authors: V A
authors: VA
authors: Kondratiuk
authors: D A
authors: DA
authors: Fedorov
authors: A V
authors: AV
authors: Grinenko
authors: A A
authors: AA
authors: Korshak
authors: A V
authors: AV
authors: Gusev
authors: A O
authors: AO
authors: Popov
authors: M S
authors: MS
authors: Grigorian
mesh_terms: D001652:Bile Ducts / Q000473:pathology / Q000601:surgery; D001661:Biliary Tract Neoplasms / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D004621:Embolization, Therapeutic; D005260:Female; D005704:Gallbladder / Q000473:pathology / Q000601:surgery; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D018285:Klatskin Tumor / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D008099:Liver / Q000473:pathology / Q000601:surgery; D008113:Liver Neoplasms / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D011300:Preoperative Care; D016896:Treatment Outcome