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术前门静脉栓塞的争议

Controversies of preoperative portal vein embolization.

作者信息

May Benjamin J, Madoff David C

机构信息

Department of Radiology, Division of Interventional Radiology, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, USA.

出版信息

Hepat Oncol. 2016 Apr;3(2):155-166. doi: 10.2217/hep-2015-0004. Epub 2016 Mar 29.

Abstract

Portal vein embolization (PVE) is a safe, percutaneous procedure that has been proven to lower the complication rates of curative intent large-volume hepatic resection by inducing hypertrophy of the future liver remnant. While the safety and efficacy of PVE has been well substantiated, there remains controversy with regards to the technical details, periprocedural management, and whether alternative methods of achieving future liver remnant hypertrophy are preferable to PVE. This paper will address those controversies and offer recommendations based on available data.

摘要

门静脉栓塞术(PVE)是一种安全的经皮操作,已被证明可通过诱导未来肝剩余部分肥大来降低根治性大体积肝切除术的并发症发生率。虽然PVE的安全性和有效性已得到充分证实,但在技术细节、围手术期管理以及实现未来肝剩余部分肥大的替代方法是否比PVE更可取方面仍存在争议。本文将探讨这些争议,并根据现有数据提供建议。

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