Clinical Application and Progress of Portal Vein Embolization_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIZhi-peng ,  ZENGZhao-lin

Department of Hepatic Surgery, The Second Affiliated Hospital, Harbin Medical University, Harbin 150086, Heilongjiang Province, China;

Corresponding author：

ZENGZhao-lin, Email: zengzhaolin@sina.com

Keywords：

Portal vein embolization; Clinical application; Present situation; Prospect

DOI：

10.7507/1007-9424.20140092

Video：

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Objective To summarize the progress and clinical application of portal vein embolization (PVE). Methods Domestic and international publications about the PVE were retrieved and reviewed. Results PVE could effectively increase the perioperative security when selected at the appropriate time during liver resection surgery. However, there were some disputes on the best choice of the PVE in material, the use of dosage, and the clinical operation method. Conclusions PVE as a method to induce liver to compensation, has a prominent role in increasing liver subtotal security, and improving the survival rate of patients. But it needs to be researched further to improve technique to promote future liver remnant hyperplasia compensatory faster and better.

Citation： LIZhi-peng, ZENGZhao-lin. Clinical Application and Progress of Portal Vein Embolization. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(3): 378-382. doi: 10.7507/1007-9424.20140092 Copy

1.	易滨, 徐爱民, 于勇, 等.肝门部胆管癌术前钢圈门静脉栓塞的安全有效性评价[J].复旦学报:医学版, 2009, 36(2):132-137.
2.	Kinoshita H, Sakai K, Hirohashi K, et al. Preoperative portal vein embolization for hepatocellular carcinoma[J]. World J Surg, 1986, 10(5):803-808.
3.	Abulkhir A, Limongelli P, Healey AJ, et al. Preoperative portal vein embolization for major liver resection:a meta-analysis[J]. Ann Surg, 2008, 247(1):49-57.
4.	Palavecino M, Abdalla EK, Madoff DC, et al. Portal vein embo-lization in hilar cholangiocarcinoma[J]. Surg Oncol Clin N Am, 2009, 18(2):257-267.
5.	Ko GY, Sung KB, Yoon HK, et al. Preoperative portal vein embolization with a new liquid embolic agent[J]. Radiology, 2003, 227(2):407-413.
6.	Shimada R, Imamura H, Nakayama A, et al. Changes in blood flow and function of the liver after right portal vein embolization[J]. Arch Surg, 2002, 137(12):1384-1388.
7.	Fujii Y, Shimada H, Endo I, et al. Changes in clinicopatholo-gical findings after portal vein embolization[J]. Hepatogastroenterology, 2000, 47(36):1560-1563.
8.	van den Esschert JW, van Lienden KP, Alles LK, et al. Liver regeneration after portal vein embolization using absorbable and permanent embolization materials in a rabbit model[J]. Ann Surg, 2012, 255(2):311-318.
9.	周春泽, 吕维富, 张行明, 等.经皮经肝选择性门静脉栓塞技术及其安全性评价[J].中国医学影像技术, 2012, 28(11):2028-2032.
10.	赵文毅, 罗蒙, 孙勇伟, 等.肝切除术前门静脉栓塞疗效的荟萃分析[J].中华外科杂志, 2008, 46(19):1460-1464.
11.	Cotroneo AR, Innocenti P, Marano G, et al. Pre-hepatectomy portal vein embolization:single center experience[J]. Eur J Surg Oncol, 2009, 35(1):71-78.
12.	Ratti F, Soldati C, Catena M, et al. Role of portal vein embolization in liver surgery:single centre experience in sixty-two patients[J]. Updates Surg, 2010, 62(3-4):153-159.
13.	罗志强, 邬林泉, 邵江华, 等.术前选择性门静脉栓塞在肝癌切除术中的应用[J].南昌大学学报:医学版, 2011, 51(1):38-40, 44.
14.	de Jong KP. Review article:multimodality treatment of liver metastases increases suitability for surgical treatment[J]. Alim-ent Pharmacol Ther, 2007, 26(Suppl 2):161-169.
15.	施长鹰, 吴志勇.选择性门静脉栓塞在肝叶切除术中的临床应用[J].外科理论与实践, 2009, 14(1):107-110.
16.	Mosconi S, Beretta GD, Labianca R, et al. Cholangiocarcinoma[J]. Crit Rev Oncol Hematol, 2009, 69(3):259-270.
17.	易滨, 徐爱民, 曲增强, 等.肝门部胆管癌术前行门静脉栓塞16例分析[J].中国实用外科杂志, 2010, 30(6):477-479.
18.	Hong YK, Choi SB, Lee KH, et al. The efficacy of portal vein embolization prior to right extended hemihepatectomy for hilar cholangiocellular carcinoma:a retrospective cohort study[J]. Eur J Surg Oncol, 2011, 37(3):237-244.
19.	Madoff DC, Abdalla EK, Vauthey JN. Portal vein embolization in preparation for major hepatic resection:evolution of a new standard of care[J]. J Vasc Interv Radiol, 2005, 16(6):779-790.
20.	Di Stefano DR, de Baere T, Denys A, et al. Preoperative percutaneous portal vein embolization:evaluation of adverse events in 188 patients[J]. Radiology, 2005, 234(2):625-630.
21.	Harada H, Imamura H, Miyagawa S, et al. Fate of the human liver after hemihepatic portal vein embolization:cell kinetic and morphometric study[J]. Hepatology, 1997, 26(5):1162-1170.
22.	Nagino M, Ando M, Kamiya J, et al. Liver regeneration after major hepatectomy for biliary cancer[J]. Br J Surg, 2001, 88(8):1084-1091.
23.	易滨, 梁丽琼, 王茵, 等.肝门部胆管癌术前门静脉栓塞的血流动力学与肝再生的关系[J].中华消化外科杂志, 2011, 10(2):113-115.
24.	Perarnau JM, Daradkeh S, Johann M, et al. Transjugular preoperative portal embolization (TJPE) a pilot study[J]. Hepatogastroenterology, 2003, 50(51):610-613.
25.	de Baere T, Roche A, Elias D, et al. Preoperative portal vein embolization for extension of hepatectomy indications[J]. Hepatology, 1996, 24(6):1386-1391.
26.	Madoff DC, Hicks ME, Abdalla EK, et al. Portal vein embolization with polyvinyl alcohol particles and coils in preparation for major liver resection for hepatobiliary malignancy:safety and effectiveness-study in 26 patients[J]. Radiology, 2003, 227(1):251-260.
27.	Park S, Yoon HK, Lee N, et al. Portal vein embolization with use of a new liquid embolic material:an experimental study[J]. J Vasc Interv Radiol, 1999, 10(3):339-345.
28.	胡宇, 许戈良.选择性门静脉栓塞术的临床应用进展[J].肝胆外科杂志, 2010, 18(2):148-150.
29.	Madoff DC, Abdalla EK, Gupta S, et al. Transhepatic ipsilateral right portal vein embolization extended to segmentⅣ:improving hypertrophy and resection outcomes with spherical particles and coils[J]. J Vasc Interv Radiol, 2005, 16(2 Pt 1):215-225.
30.	Imamura H, Shimada R, Kubota M, et al. Preoperative portal vein embolization:an audit of 84 patients[J]. Hepatology, 1999, 29(4):1099-1105.
31.	Aoki T, Imamura H, Hasegawa K, et al. Sequential preoperative arterial and portal venous embolizations in patients with hepa-tocellular carcinoma[J]. Arch Surg, 2004, 139(7):766-774.
32.	Capussotti L, Muratore A, Ferrero A, et al. Extension of right portal vein embolization to segmentⅣportal branches[J]. Arch Surg, 2005, 140(11):1100-1103.
33.	Mueller L, Goettsche J, Abdulgawad A, et al. Tumor growth-promoting cellular host response during liver atrophy after portal occlusion[J]. Liver Int, 2005, 25(5):994-1001.
34.	卞建民, 张磊, 何旭, 等.门静脉栓塞术后右肝切除术的初步体会[J].中华肝胆外科杂志, 2010, 16(12):954-955.

1. 易滨, 徐爱民, 于勇, 等.肝门部胆管癌术前钢圈门静脉栓塞的安全有效性评价[J].复旦学报:医学版, 2009, 36(2):132-137.
2. Kinoshita H, Sakai K, Hirohashi K, et al. Preoperative portal vein embolization for hepatocellular carcinoma[J]. World J Surg, 1986, 10(5):803-808.
3. Abulkhir A, Limongelli P, Healey AJ, et al. Preoperative portal vein embolization for major liver resection:a meta-analysis[J]. Ann Surg, 2008, 247(1):49-57.
4. Palavecino M, Abdalla EK, Madoff DC, et al. Portal vein embo-lization in hilar cholangiocarcinoma[J]. Surg Oncol Clin N Am, 2009, 18(2):257-267.
5. Ko GY, Sung KB, Yoon HK, et al. Preoperative portal vein embolization with a new liquid embolic agent[J]. Radiology, 2003, 227(2):407-413.
6. Shimada R, Imamura H, Nakayama A, et al. Changes in blood flow and function of the liver after right portal vein embolization[J]. Arch Surg, 2002, 137(12):1384-1388.
7. Fujii Y, Shimada H, Endo I, et al. Changes in clinicopatholo-gical findings after portal vein embolization[J]. Hepatogastroenterology, 2000, 47(36):1560-1563.
8. van den Esschert JW, van Lienden KP, Alles LK, et al. Liver regeneration after portal vein embolization using absorbable and permanent embolization materials in a rabbit model[J]. Ann Surg, 2012, 255(2):311-318.
9. 周春泽, 吕维富, 张行明, 等.经皮经肝选择性门静脉栓塞技术及其安全性评价[J].中国医学影像技术, 2012, 28(11):2028-2032.
10. 赵文毅, 罗蒙, 孙勇伟, 等.肝切除术前门静脉栓塞疗效的荟萃分析[J].中华外科杂志, 2008, 46(19):1460-1464.
11. Cotroneo AR, Innocenti P, Marano G, et al. Pre-hepatectomy portal vein embolization:single center experience[J]. Eur J Surg Oncol, 2009, 35(1):71-78.
12. Ratti F, Soldati C, Catena M, et al. Role of portal vein embolization in liver surgery:single centre experience in sixty-two patients[J]. Updates Surg, 2010, 62(3-4):153-159.
13. 罗志强, 邬林泉, 邵江华, 等.术前选择性门静脉栓塞在肝癌切除术中的应用[J].南昌大学学报:医学版, 2011, 51(1):38-40, 44.
14. de Jong KP. Review article:multimodality treatment of liver metastases increases suitability for surgical treatment[J]. Alim-ent Pharmacol Ther, 2007, 26(Suppl 2):161-169.
15. 施长鹰, 吴志勇.选择性门静脉栓塞在肝叶切除术中的临床应用[J].外科理论与实践, 2009, 14(1):107-110.
16. Mosconi S, Beretta GD, Labianca R, et al. Cholangiocarcinoma[J]. Crit Rev Oncol Hematol, 2009, 69(3):259-270.
17. 易滨, 徐爱民, 曲增强, 等.肝门部胆管癌术前行门静脉栓塞16例分析[J].中国实用外科杂志, 2010, 30(6):477-479.
18. Hong YK, Choi SB, Lee KH, et al. The efficacy of portal vein embolization prior to right extended hemihepatectomy for hilar cholangiocellular carcinoma:a retrospective cohort study[J]. Eur J Surg Oncol, 2011, 37(3):237-244.
19. Madoff DC, Abdalla EK, Vauthey JN. Portal vein embolization in preparation for major hepatic resection:evolution of a new standard of care[J]. J Vasc Interv Radiol, 2005, 16(6):779-790.
20. Di Stefano DR, de Baere T, Denys A, et al. Preoperative percutaneous portal vein embolization:evaluation of adverse events in 188 patients[J]. Radiology, 2005, 234(2):625-630.
21. Harada H, Imamura H, Miyagawa S, et al. Fate of the human liver after hemihepatic portal vein embolization:cell kinetic and morphometric study[J]. Hepatology, 1997, 26(5):1162-1170.
22. Nagino M, Ando M, Kamiya J, et al. Liver regeneration after major hepatectomy for biliary cancer[J]. Br J Surg, 2001, 88(8):1084-1091.
23. 易滨, 梁丽琼, 王茵, 等.肝门部胆管癌术前门静脉栓塞的血流动力学与肝再生的关系[J].中华消化外科杂志, 2011, 10(2):113-115.
24. Perarnau JM, Daradkeh S, Johann M, et al. Transjugular preoperative portal embolization (TJPE) a pilot study[J]. Hepatogastroenterology, 2003, 50(51):610-613.
25. de Baere T, Roche A, Elias D, et al. Preoperative portal vein embolization for extension of hepatectomy indications[J]. Hepatology, 1996, 24(6):1386-1391.
26. Madoff DC, Hicks ME, Abdalla EK, et al. Portal vein embolization with polyvinyl alcohol particles and coils in preparation for major liver resection for hepatobiliary malignancy:safety and effectiveness-study in 26 patients[J]. Radiology, 2003, 227(1):251-260.
27. Park S, Yoon HK, Lee N, et al. Portal vein embolization with use of a new liquid embolic material:an experimental study[J]. J Vasc Interv Radiol, 1999, 10(3):339-345.
28. 胡宇, 许戈良.选择性门静脉栓塞术的临床应用进展[J].肝胆外科杂志, 2010, 18(2):148-150.
29. Madoff DC, Abdalla EK, Gupta S, et al. Transhepatic ipsilateral right portal vein embolization extended to segmentⅣ:improving hypertrophy and resection outcomes with spherical particles and coils[J]. J Vasc Interv Radiol, 2005, 16(2 Pt 1):215-225.
30. Imamura H, Shimada R, Kubota M, et al. Preoperative portal vein embolization:an audit of 84 patients[J]. Hepatology, 1999, 29(4):1099-1105.
31. Aoki T, Imamura H, Hasegawa K, et al. Sequential preoperative arterial and portal venous embolizations in patients with hepa-tocellular carcinoma[J]. Arch Surg, 2004, 139(7):766-774.
32. Capussotti L, Muratore A, Ferrero A, et al. Extension of right portal vein embolization to segmentⅣportal branches[J]. Arch Surg, 2005, 140(11):1100-1103.
33. Mueller L, Goettsche J, Abdulgawad A, et al. Tumor growth-promoting cellular host response during liver atrophy after portal occlusion[J]. Liver Int, 2005, 25(5):994-1001.
34. 卞建民, 张磊, 何旭, 等.门静脉栓塞术后右肝切除术的初步体会[J].中华肝胆外科杂志, 2010, 16(12):954-955.

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Clinical Application and Progress of Portal Vein Embolization

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