Sequential Transcatheter Arterial Chemoembolization and Portal Vein Embolization versus Portal Vein Embolization Only before Major Hepatectomy for Patients with Hepatocellular ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-11-11

AUTHORS

Hyunkyung Yoo, Jin Hyoung Kim, Gi-Young Ko, Kyoung Won Kim, Dong Il Gwon, Sung-Gyu Lee, Shin Hwang

ABSTRACT

PurposeTo evaluate the safety and efficacy of sequential transcatheter arterial chemoembolization (TACE) and portal vein embolization (PVE) prior to surgery in hepatocellular carcinoma (HCC) patients and to compare the clinical outcome of the combined procedure with that of a matched group of patients undergoing PVE alone.Patients and MethodsFrom 1997 to 2008, 135 patients with HCC underwent sequential TACE and PVE (n = 71) or PVE alone (n = 64) before right hepatectomy. PVE was performed mean 1.2 months after TACE. In both groups, computed tomography (CT) and liver volumetry were performed before and 2 weeks after PVE to assess degree of left lobe hypertrophy.ResultsBaseline patient and tumor characteristics were similar in the two groups. After PVE, the chronological changes of liver enzymes were similar in the two groups. The mean increase in percentage future liver remnant (FLR) volume was higher in the TACE + PVE group (7.3%) than in the PVE-only group (5.8%) (P = 0.035). After surgery, incidence of hepatic failure was higher in the PVE-only group (12%) than in the TACE + PVE (4%) group (P = 0.185). Overall (P = 0.028) and recurrence-free (P = 0.001) survival rates were significantly higher in the TACE + PVE group than in the PVE-only group.ConclusionSequential TACE and PVE before surgery is a safe and effective method to increase the rate of hypertrophy of the FLR and leads to longer overall and recurrence-free survival in patients with HCC. More... »

PAGES

1251-1257

Identifiers

URI

http://scigraph.springernature.com/pub.10.1245/s10434-010-1423-3

DOI

http://dx.doi.org/10.1245/s10434-010-1423-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1013349737

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21069467


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