Simultaneous embolization of the right portal and hepatic veins before intrahepatic cholangiocarcinoma resection.

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  • Additional Information
    • Source:
      Publisher: Instituto de Ensino e Pesquisa Albert Einstein Country of Publication: Brazil NLM ID: 101281800 Publication Model: eCollection Cited Medium: Internet ISSN: 2317-6385 (Electronic) Linking ISSN: 16794508 NLM ISO Abbreviation: Einstein (Sao Paulo) Subsets: MEDLINE
    • Publication Information:
      Original Publication: São Paulo, SP : Instituto de Ensino e Pesquisa Albert Einstein
    • Subject Terms:
      Cholangiocarcinoma*/surgery ; Cholangiocarcinoma*/diagnostic imaging ; Embolization, Therapeutic*/methods ; Portal Vein*/surgery ; Portal Vein*/diagnostic imaging ; Bile Duct Neoplasms*/surgery ; Bile Duct Neoplasms*/diagnostic imaging ; Hepatic Veins*/diagnostic imaging ; Hepatic Veins*/surgery ; Hepatectomy*/methods; Humans ; Male ; Treatment Outcome ; Middle Aged
    • Abstract:
      Major liver resections require extensive margins. Occasionally, insufficient parenchyma is available after surgery to maintain liver function. In such cases, vascular embolization in the affected lobe is necessary to induce contralateral lobe hypertrophy. We present a case of embolization of the right portal and hepatic veins prior to intrahepatic cholangiocarcinoma resection. Embolization was performed because of insufficient residual parenchyma on imaging studies. The patient recovered well with no signs of liver failure, and remains in remission at 3 years postoperatively. Knowledge of the use of this technique in association with surgical resection can reduce postoperative complications and allow the removal of larger tumors than those previously considered borderline.
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    • Publication Date:
      Date Created: 20241106 Date Completed: 20241106 Latest Revision: 20241213
    • Publication Date:
      20241213
    • Accession Number:
      PMC11634352
    • Accession Number:
      10.31744/einstein_journal/2024RC0524
    • Accession Number:
      39504092