EFFICIENCY PORTAL VEIN X-RAY VASCULAR EMBOLIZATION IN EXTENDED HEPATIC RESECTION
https://doi.org/10.38181/2223-2427-2022-1-33-37
Abstract
Relevance. To evaluate the effectiveness of X-ray endovascular embolization of the portal vein branch in terms of preparation for extensive liver resections. Materials and methods. A retrospective analysis of 74 right-sided hemihepatectomies performed in one stage (classical, n = 54) or in two stages (X-ray endovascular embolization of the right portal vein followed by liver resection was performed, n = 20).
Results. X-ray endovascular embolization of the right portal vein was accompanied by a significant increase in the planned liver remainder by an average of 37.3 %. This made it possible to reduce the volume of intraoperative blood loss, the incidence of postresection hepatic failure from 43.1 to 15.9 %, and postoperative mortality from 9.3 to 5.0 %.
Conclusions. Preoperative X-ray endovascular embolization of the right portal vein leads to vicarious enlargement of the left lobe of the liver. This makes it possible to reliably reduce the incidence of post-resection hepatic failure after right-sided hemihepatectomy and, accordingly, reduce the frequency of deaths.
About the Authors
M. A. Nartailakov
Bashkir State Medical University
Russian Federation
Russian Federation
Mazhit A. Nartailakov – Dr. Sci., Professor, Head of General Surgery Department with a Course of Radiation Diagnostics, IDPO
3 Lenina str., Ufa, Republic of Bashkortostan, 450008
I. I. Galimov
Bashkir State Medical University
Russian Federation
Russian Federation
Ildar I. Galimov – PhD, Docent, Head of the Department of Pediatric Surgery with the Course of IDPO
3 Lenina str., Ufa, Republic of Bashkortostan, 450008
D. F. Shakurov
G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Danil F. Shakurov – Doctor of the Department of X-ray Surgical Methods of Diagnostics and Treatment
Ufa, st. Dostoevsky 132
M. O. Loginov
Bashkir state medical university; G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Maksim O. Loginov – assistant of the Department of General Surgery with Courses of Transplantology and Radiation Diagnostics, IDPO; chief freelance specialist in X-ray endovascular diagnostics and treatment of the Republic of Bashkortostan, head of the Department of X-ray Surgical Methods of Diagnostics and Treatment
3 Lenina str., Ufa, Republic of Bashkortostan, 450008
Ufa, st. Dostoevsky 132
G. Kh. Mirasova
G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Guldar Kh. Mirasova – anesthesiologist-resuscitator of the department of anesthesiology and resuscitation №1
Ufa, st. Dostoevsky 132
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Review
For citations:
Nartailakov M.A., Galimov I.I., Shakurov D.F., Loginov M.O., Mirasova G.Kh. EFFICIENCY PORTAL VEIN X-RAY VASCULAR EMBOLIZATION IN EXTENDED HEPATIC RESECTION. Surgical practice (Russia). 2022;(1):33-37. (In Russ.) https://doi.org/10.38181/2223-2427-2022-1-33-37
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