Derhy S, Soyer P, Roche A, Lapeyre F, Kraiem C, Ajavon Y, Cauquil P
Service de Radiologie Adulte, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Gastroenterol Clin Biol. 1991;15(5):424-7.
Four patients with unresectable hepatic adenoma underwent selective hepatic artery embolization. Non-operability was related to the size and the situation of the tumor, and the clinical background. The only subsequent postembolization syndrome was one case of acute renal failure, reversible after diuretic treatment. In 3 cases the decrease in tumoral size was delayed and appeared six months after the first embolization, allowing surgical resection in 2 cases. Because of lack of tumoral devascularization and presence of residual nodules on the resected specimen, this technique is not a satisfactory alternative to surgery, at least with the employed technique. However, preoperative selective hepatic artery embolization can play an important role in the management of hepatic adenomas as it may permit safer surgical resection.
四名无法切除的肝腺瘤患者接受了选择性肝动脉栓塞术。无法手术与肿瘤的大小、位置以及临床背景有关。栓塞术后唯一出现的并发症是一例急性肾衰竭，经利尿剂治疗后可逆。3例患者肿瘤大小的缩小出现延迟，在首次栓塞后6个月出现，其中2例随后得以进行手术切除。由于切除标本中缺乏肿瘤去血管化且存在残留结节，至少就所采用的技术而言，该技术并非手术的理想替代方案。然而，术前选择性肝动脉栓塞术在肝腺瘤的治疗中可发挥重要作用，因为它可能使手术切除更安全。
