Preparing for liver surgery with "Alphabet Soup": PVE, ALPPS, TAE-PVE, LVD and RL Review
| Authors: | Kim, D.; Cornman-Homonoff, J.; Madoff, D. C. |
| Review 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 |
