Preparing for liver surgery with "Alphabet Soup": PVE, ALPPS, TAE-PVE, LVD and RL Journal Article


Authors: Kim, D.; Cornman-Homonoff, J.; Madoff, D. C.
Article Title: Preparing for liver surgery with "Alphabet Soup": PVE, ALPPS, TAE-PVE, LVD and RL
Abstract: Future liver remnant (FLR) sin and function is a critical limiting factor for treatment eligibility and postoperative prognosis when considering surgical hepatectomy. Pre-operative portal vein embolization (PVE) has been proven effective in modulating FLR and now widely accepted as a standard of care. However, PVE is not always effective due to potentially inadequate augmentation of the FLR as well as tumor progression while awaiting liver growth. "These concerns have prompted exploration of alternative techniques: associating liver partition and portal vein ligation for staged hepatectomy (ALPPS), transarterial embolization-portal vein embolization (TAE-PVE), liver venous deprivation (LVD), and radiation lobectomy (RL). The article aims to review the principles and applications of PVE and these newer hepatic regenerative techniques.
Keywords: hepatocellular-carcinoma; embolization; portal-vein embolization; major hepatectomy; growth-rate; transcatheter arterial chemoembolization; hepatic regeneration; future liver remnant; internal radiation-therapy; staged hepatectomy alpps; tc-99m-mebrofenin; hepatobiliary scintigraphy; serum-albumin scintigraphy; hepatic venous; congestion
Journal Title: Hepatobiliary Surgery and Nutrition
Volume: 9
Issue: 2
ISSN: 2304-3881
Publisher: AME Publishing Company  
Date Published: 2020-04-01
Start Page: 136
End Page: 151
Language: English
ACCESSION: WOS:000521741700002
DOI: 10.21037/hbsn.2019.09.10
PROVIDER: wos
PMCID: PMC7188547
PUBMED: 32355673
Notes: Review -- Source: Wos
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  1. Daehee Kim
    3 Kim