Efficacy and safety of percutaneous transhepatic portal embolization before right liver resection using an ethibloc/lipiodol mixture: a single-center experience

Dig Surg. 2008;25(1):52-9. doi: 10.1159/000118795. Epub 2008 Feb 25.

Abstract

Aim: The purpose of this study was to evaluate the safety and efficacy of percutaneous transhepatic portal vein embolization of the right portal vein with an Ethibloc/Lipiodol mixture to induce hypertrophy of the left liver lobe in patients with primarily unresectable liver tumor.

Methods: 15 patients (8 primary liver tumors, 7 liver metastases) underwent portal vein embolization. Liver volumetry, duration of hospitalization, complication rates, relevant laboratory values were documented.

Results: In 13/15 patients (84.6%) embolization could be performed with a median of 8.8 ml (range 1.5-28 ml) Ethibloc/Lipiodol. One minor procedure-related complication (subcapsular hematoma) occurred, which did not affect the two-step liver resection. No patient developed acute liver failure after embolization or liver resection. The volume of the left liver lobe increased significantly (p = 0.0015) by 25% from a median of 750 ml (587-1,114 ml) to 967 ml (597-1,249 ml). 11/13 (81.8%) of the embolized patients underwent liver resection at a median of 49 days after embolization. Median hospitalization time was 4 days after embolization and 7 days after liver resection. Median overall survival of the 11 operated patients was 376 days.

Conclusion: Percutaneous transhepatic portal vein embolization using an Ethibloc/Lipiodol mixture is a safe, feasible, and efficient interventional procedure.

MeSH terms

  • Adult
  • Aged
  • Diatrizoate / administration & dosage*
  • Drug Combinations
  • Embolization, Therapeutic*
  • Fatty Acids / administration & dosage*
  • Female
  • Hepatectomy*
  • Humans
  • Iodized Oil / administration & dosage*
  • Liver Regeneration
  • Male
  • Middle Aged
  • Portal Vein
  • Propylene Glycols / administration & dosage*
  • Prospective Studies
  • Sclerosing Solutions / administration & dosage*
  • Treatment Outcome
  • Zein / administration & dosage*

Substances

  • Drug Combinations
  • Fatty Acids
  • Propylene Glycols
  • Sclerosing Solutions
  • Diatrizoate
  • Iodized Oil
  • Zein
  • alcoholic prolamine solution