Abstract
Right portal vein embolization is often performed to prevent liver insufficiency after major hepatic resection. The procedure usually involves direct puncture of the portal vein, which requires hepatic hilum manipulation, and may be associated with liver injury, pneumothorax, and hemoperitoneum. This report describes a technique of laparoscopic insertion of a sheath into the inferior mesenteric vein followed by right portal vein embolization.
Highlights
Preoperative right portal vein (RPV) embolization is a safe and effective procedure to prevent postoperative liver insufficiency after major hepatectomy[1]
Its main outcome is hypertrophy of the non-embolized hepatic lobe, and it has been used during resection of liver metastases and in the management of hepatobiliary malignancies[2]
This report describes the percutaneous access of the inferior mesenteric vein (IMV) with laparoscopic dissection followed by RPV embolization
Summary
Right portal vein embolization by laparoscopic catheterization of the inferior mesenteric vein. Marcus Vinicius Martins Cury[1], Fernanda Mesquita de Brito Castro[1], Lister Arruda Modesto Santos[2], Sandra Lucia Lodi Peres[2], Roberto Sacilotto[1]
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