Muestra la distribución de disciplinas para esta publicación.
Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.
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| Año | 2024 | ||||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background: One of the main limitations to achieving a complete tumor resection in patients with technically resectable liver tumors is the presence of a small future liver remnant (FLR). Portal vein embolization (PVE) allows hypertrophy of the non-embolized lobe, reducing the risk of postoperative liver failure. Aim: To describe the experience of portal embolization prior to hepatectomy and its effectiveness in converting advanced unresectable liver tumors into resectable tumors. Methods: Non-concurrent cohort study. All patients who underwent PVE before hepatectomy between 2016 and 2020 in our center were included. Demographic and diagnostic variables, pre and post-PVE volumes, perioperative variables, and global and disease-free survival were analyzed. Results: Nineteen patients were included. Median age 66 (54-72) years and 57.9% (n= 11) were women. Bilateral metastases were present in 78.9% (n= 15). Sixteen patients (84.2%) received neoadjuvant chemotherapy. One patient (5.3%) had a complication after PVE. The median time between embolization and volumetry was 5.3 weeks (4.7-7.1). Median FLR before and after PVE were 19.8% (16.2-27.7) and 30% (25.2-40.5), respectively. The median percentage of hypertrophy was 48% (40.4-76.5). Fifteen patients (78.9%) underwent hepatectomy. Significant complications occurred in 26.6% (n= 4); among them, three patients (20%) presented postoperative liver failure. Conclusions: PVE is safe and effective in promoting FLR hypertrophy in the presence of chemotherapy, allowing patients with advanced liver tumors to undergo surgery with curative intent.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Riveros, Sergio | Hombre |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 2 | Irarrazaval, Maria Jesus | - |
Pontificia Universidad Católica de Chile - Chile
Escuela de Medicina - Chile |
| 2 | Jesús Irarrázaval, María | - |
Escuela de Medicina - Chile
Pontificia Universidad Católica de Chile - Chile |
| 3 | Penailillo, Antonio | - |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 4 | Hevia, Joaquin | - |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 5 | ACHURRA-TIRADO, PABLO ANDRES | Hombre |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 6 | BRICENO-VALENZUELA, EDUARDO | Hombre |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 7 | VINUELA-FAWAZ, EDUARDO ANDRES | Mujer |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 8 | Rebolledo, Patricia | Mujer |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 9 | JARUFE-CASSIS, NICOLAS PATRICIO | Hombre |
Cirugia Digest Clin Condes - Chile
CirugíaDigestiva.ClínicaLasCondes - Chile Clínica Las Condes - Chile |
| 10 | MARTINEZ-PALOMERA, JORGE IGNACIO | Hombre |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 11 | Meneses, Luis | Hombre |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |
| 12 | Dib, Martin J. | Hombre |
Pontificia Universidad Católica de Chile - Chile
Facultad de Medicina - Chile |