Cited by 142Hepatocellular Carcinoma Treatment and PrognosisLiver physiology and pathologyOrgan Transplantation Techniques and Outcomes

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Predictive Factors for Hypertrophy of the Future Remnant Liver After Selective Portal Vein Embolization

de Baere, Thierry, Teriitehau, Christophe, Deschamps, Frederic, Catherine, Laurence, Rao, Pramod, Hakime, Antoine, Auperin, Anne, Goere, Diane, Elias, Dominique, Hechelhammer, Lukas·2010·Annals of Surgical Oncology

DOI 10.1245/s10434-010-0979-2

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Abstract

Background To analyze predictive factors of hypertrophy of the nonembolized future remnant liver (FRL) after transhepatic preoperative portal vein embolization (PVE) of the liver to be resected.Materials and methods Age, gender, indocyanin green clearance test, chemotherapy before PVE, type of chemotherapy, operators, extent of PVE, radiofrequency ablation (RFA) associated with PVE, time delay between PVE and surgery, and platelet count were retrospectively evaluated as predictive factors for hypertrophy of FRL in 107 patients with malignant disease in noncirrhotic liver. PVE targeted the right liver lobe [n = 70] or the right liver lobe and segment IV [n = 37] when FRL/total liver volume ratio was below 25% in healthy liver or 40% in altered liver.Results After PVE, FRL volume significantly increased by 69%, from 344 +/- 156 cm(3) to 543 +/- 192 cm(3) (P < .0001). The degree of hypertrophy was negatively correlated with FRL volume (correlation coefficient = -0.55, P < .0001) and FRL/TFL ratio (correlation coefficient = -0.52, P < .0001) before PVE. Patients, who have undergone chemotherapy with platin agents prior to PVE, demonstrated lower hypertrophy (P = .048).Conclusion Hypertrophy after PVE is inversely correlated to initial FRL volume. Hypertrophy of the liver might be influenced by the systemic chemotherapeutic received before PVE.

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Authors: de Baere, T., Teriitehau, C., Deschamps, F., Catherine, L., Rao, P., Hakime, A., Auperin, A., Goere, D., Elias, D., & Hechelhammer, L.
Affiliations: Institut Gustave Roussy (FR)
ORCID: Rao, Pramod
Auperin, Anne
Hechelhammer, Lukas
Venue: Annals of Surgical Oncology
Publisher: Springer Science and Business Media LLC
Published: 2010-03-17
Volume: 17
Issue: 8
Pages: 2081-2089
ISSN: 1068-9265 (ISSN-L)
1534-4681
DOI: 10.1245/s10434-010-0979-2
OpenAlex: W2082993378
Cited by: 139
References: 43
Citations by year: 2026: 5 · 2025: 6 · 2024: 7 · 2023: 7 · 2022: 9 · 2021: 10 · 2020: 10 · 2019: 10 · 2018: 10 · 2017: 11 · 2016: 12 · 2015: 8 · 2014: 8 · 2013: 10 · 2012: 12
FWCI: 5.24
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Annals of Surgical Oncology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Hepatology › Hepatocellular Carcinoma Treatment and Prognosis
Health Sciences › Medicine › Hepatology › Liver physiology and pathology
Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
Keywords: liver hypertrophy, predictive factors, hepatectomy, non-cirrhotic liver, neoadjuvant chemotherapy, platinum agents, indocyanine green clearance, radiofrequency ablation
MeSH terms: Adolescent, Adult, Aged, Embolization, Therapeutic, Female, Hepatectomy, Humans, Hypertrophy, Liver, Liver Neoplasms, Male, Middle Aged, Portal Vein, Retrospective Studies, Treatment Outcome, Young Adult

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Predictive Factors for Hypertrophy of the Future Remnant Liver After Selective Portal Vein Embolization

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