Hepatic Neoplasm
Conditions
Brief summary
Several aspects on the use of portal vein embolization (PVE) are poorly studied and todays recommendations are based on low-grade evidence. In this Scandinavian multicenter cohort study we will study some of the controversial aspects on the use of PVE to try to provide clearer answers on its optimal use. Six tertiary university hospital hepatobiliary units in Sweden, Norway and Denmark participate and contribute with all PVE procedures performed at their units during the study period. We will then study several aspects PVE technique in relation to induced hypertrophy and surgical outcome.
Interventions
Selective preoperative portal vein embolization
Sponsors
Study design
Eligibility
Inclusion criteria
* Right-sided PVE
Exclusion criteria
* Left-sided PVE
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Future liver remnant hypertrophy | Based on radiology around 4 weeks before and after intervention | Increase in future liver remnant, (%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect of segment 4 embolization on hypertrophy | Based on radiology around 4 weeks before and after intervention | Increase in future liver remnant (%) dependeing on if segment 4 is embolized or not. |
| Effect of hyperbilirubinemia on hypertrophy | Based on radiology around 4 weeks before and after intervention | Increase in future liver remnant (%) dependeing on the levels of bilirubin before portal vein embolization. |
| Effect of sarcopenia on hypertrophy | Based on radiology around 4 weeks before and after intervention | Increase in future liver remnant (%) dependeing on the level of sarcopenia before portal vein embolization. |
Countries
Sweden