Preoperative percutaneous transhepatic portal vein embolization in colorectal liver metastases
Ch. Bachvarov, G. Todorov, N. Kolev, A. Tonev, V. Ignatov, S. Sirakov, K. Ivanov
Portal vein embolization is a procedure, which is used to treat patients, subjected to hepatic resection, when the volume of the future remnant liver is not sufficient. This procedure together with two stage hepatectomy is the only chance for radical treatment in patients with secondary malignant liver disease. The aim of the strudy is to present a clinical case report of liver portal embolization as preoperative preparation for hepatic resection due to liver metastases in patients with colorectal cancer. We evaluated the hypertrophy of the liver as well as the postoperative liver function. A female patient with liver meta from colorectal cancer, underwent pre-operative portal embolization which was followed on a next step by right radical hepatectomy. Portal vein embolization extends the indications for right radical two-step hepatectomy.
Key words: PORTAL EMBOLIZATION. COLORECTAL CANCER. TwO-STEP HEPATECTOMY