AIHTA - Publications - Search - Hepatic and portal vein embolisation prior to major hepatectomy

Rochet, E. and Stringer, D. and Gassner, L. and Vandepeer, M. and Forel, D. and Bachlani, A. and Duncan, J. (2022): Hepatic and portal vein embolisation prior to major hepatectomy. Decision Support Document 130.

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This systematic review evaluates whether hepatic and portal vein embolisation is more effective and safer in comparison to portal vein embolisation for volume optimisation in patients prior to major hepatectomy.

A total of three retrospective comparative studies and two prospective case series were included. Simultaneous hepatic and portal vein embolisation seems to be the preferred technique compared to sequential portal and hepatic vein embolisation, as the delay for surgery is reduced, and it can be performed as a dual procedure instead of two separate procedures. However, future liver remnant hypertrophy seems to be greater and faster with hepatic and portal vein embolisation than portal vein embolisation alone, whereas it did not appear to improve the unresectability due to disease progression or reduce the time between embolisation and resection.

Hepatic and portal vein embolisation appears to be as safe as portal vein embolisation alone. No conclusion can be made whether hepatic and portal vein embolisation leads to better outcomes than the first-line comparator portal vein embolisation.

Item Type:Decision Support Document
Keywords:Hepatic vein embolisation, portal vein embolisation, liver cancer, hepatectomy
Subjects:QZ Pathology > QZ 200-380 Neoplasms.Cysts
W Health professions > W 100-275 Medical, dental and pharmaceutical service plans
WB Practice of medicine > WB 300-962 Therapeutics
WI Digestive system > WI 700-770 Liver. Billary tract
WO Surgery > WO 500-517 Operative surgical procedures. Techniques
Series Name:Decision Support Document 130
Deposited on:15 Jul 2022 09:45
Last Modified:15 Jul 2022 09:45

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