Portal embolization as treatment in patient with pre-operative hepatocellular carcinoma

Abstract

Introduction: Liver malignancy have increased in incidence over the decades, and the liver is a common site of metastases. In recent decades, improvements in surgical techniques, increased understanding of liver anatomy and advances in perioperative care have resulted in improvements in mortality. Case report: Men, 71, complaining of abdominal discomfort. Upper abdominal CT scan that showed a mass in the right lobe of the liver, occupying segments V, VI, VII, VIII, 1 3 6 × 11.6 × 13 cm in their largest diameter, without involvement of other segments. Biopsy diagnosed with well-differentiated hepatocellular carcinoma was performed. Conducting right portal vein embolization in order to increase the residual liver volume for subsequent hepatectomy. Patient underwent embolization and portal vein chemoembolization of the right hepatic artery was discharged on POD 50. It was accompanied with rescanned after 30 days, which showed growth of 28.9% of the FFR. Hospitalized for 40 days to carry out the right hepatectomy was discharged in 110 days, and outpatient follow-up. Conclusions: The preoperative embolization portal vein yielded growth of residual liver 28.9% hepatectomy sufficient to allow safety.