Hospital Universitário Oswaldo Cruz, Universidade de Pernambuco, Recife, PE, Brazil.
Faculdade de Ciências Médicas de Pernambuco, Universidade de Pernambuco, Recife, PE, Brazil.
Einstein (Sao Paulo). 2024 Nov 4;22:eRC0524. doi: 10.31744/einstein_journal/2024RC0524. eCollection 2024.
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.
肝叶切除术需要广泛的边缘。偶尔，手术后剩余的肝实质不足以维持肝功能。在这种情况下，需要对受影响的叶进行血管栓塞以诱导对侧叶肥大。我们报告了一例肝内胆管癌切除术前右门静脉和肝静脉栓塞的病例。栓塞是由于影像学研究显示剩余的肝实质不足而进行的。患者术后恢复良好，无肝功能衰竭迹象，术后 3 年仍处于缓解期。了解该技术与手术切除联合应用可以减少术后并发症，并允许切除比以前认为临界的更大的肿瘤。
