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Clinical significance of portal vein embolization before right hepatectomy
http://hdl.handle.net/10069/23177
http://hdl.handle.net/10069/23177eed3c657-b843-46e0-902d-d27fb3bfc951
名前 / ファイル | ライセンス | アクション |
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HG56_773.pdf (201.5 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-06-01 | |||||
タイトル | ||||||
タイトル | Clinical significance of portal vein embolization before right hepatectomy | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Hepatic failure | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Liver regeneration | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Portal vein embolization | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Right hepatectomy | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Nanashima, Atsushi
× Nanashima, Atsushi× Sumida, Yorihisa× Abo, Takafumi× Nonaka, Takashi× Takeshita, Hiroaki× Hidaka, Shigekazu× Sawai, Terumitsu× Yasutake, Toru× Sakamoto, Ichiro× Nagayasu, Takeshi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background/Aims: To identify clinical significances of portal vein embolization (PVE) prior to major hepatectomy, we examined clinical parameters and outcome after right hepatectomy in patients who underwent PVE. Methodology: The subjects were 30 patients who underwent PVE (PVE group), and 52 patients (non-PVE), in whom PVE was considered unnecessary, followed by right hepatectomy for hepatobiliary cancer. Results: Total hepatic volume after PVE (1068±268 ml) tended to increase compared with before PVE (p=0.059). After PVE, the change in hemi-liver volume was 8.9±6.0%. Increases in hepatic volume of non-embolized left liver before and at 4 weeks after hepatectomy between the PVE and non-PVE groups were similar. Changes in hepatic volumes before and after PVE were not significantly influenced by background liver disease. After PVE, the functional liver volume (419±185cm 3) was significantly lower than morphological volume (564±165cm3) in the embolized liver (p<0.05). Although preoperative liver function was worse in the PVE group compared with non-PVE, serious hepatic complications were rarely observed in the PVE group. Conclusions: Marked changes in hepatic volume were noted after PVE in patients with impaired liver function and those who need large-volume right hepatectomy, especially in functional volume, suggesting that PVE is a useful procedure to prevent postoperative liver failure. | |||||
書誌情報 |
Hepato-Gastroenterology 巻 56, 号 91-92, p. 773-777, 発行日 2009-05 |
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出版者 | ||||||
出版者 | Thieme | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 01726390 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00213244 | |||||
権利 | ||||||
権利情報 | c H.G.E. Update Medical Publishing S.A. | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
関係URI | ||||||
関連名称 | http://www.iasg.org/ | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Hepato-Gastroenterology, 56(91-92), pp.773-777; 2009 |