J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 793KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 99(4): 234-240, 1998

Feature topic

PERCUTANEOUS TRANSHEPATIC PORTAL VEIN EMBOLIZATION FOR HEPATOCELLULAR CARCINOMA

1) Second Department of Surgery, Osaka City University Medical School, Osaka, Japan
2) Department of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan

Hiromu Tanaka1), Hiroaki Kinoshita1), Kazuhiro Hirohashi1), Osamu Yamasaki2), Shoji Kubo1), Tadashi Tsukamoto1), Hiroyuki Hamba1), Taichi Shuto1), Yoshihiko Morimoto1), Shinichi Mikami1)

We report on the significance of percutaneous transhepatic portal vein embolization (PTPE) for hepatocellular carcinoma based on the results in 111 patients who underwent PTPE in our hospital. All patients tolerated the procedure without major complications, although transient elevations in serum transaminase levels were noted. Immediately after PTPE, the portal pressure increased. Portal venous flow at the main portal trunk decreased, but the flow in the nonembolized part of the liver increased. PTPE produced regenerative hypertrophy in the nonembolized part of the liver, which was mainly predicted by the volume of the embolized area and the morphological score of the hepatitis or cirrhosis. PTPE increased the safety of subsequent hepatectomy and expanded the indications for hepatectomy. PTPE is also useful as a type of multiplicative therapy for hepatocellular carcinoma.

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