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Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

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Liver venous deprivation in the prevention of post-resection hepatic failure

https://doi.org/10.16931/1995-5464.2024-2-134-141

Abstract

   The paper presents a clinical observation of successful X-ray endovascular intervention performed in a patient with colorectal cancer metastases in the liver in order to prevent post-resection hepatic failure. Traditional embolization of the right branch of the portal vein was supplemented by occlusion of the right hepatic vein. Venous deprivation enabled a rapid growth of the future liver remnant to be achieved as indicated by CT volumetry results and SPECT-CT data that showed a significant increase in hepatic clearance. The first results demonstrate that liver venous deprivation is to be investigated further in clinical practice.

About the Authors

M. A. Sudakov
https://www.sechenov.ru
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Mikhail A. Sudakov, Oncologist

University Clinic No. 1; Oncology Unit

119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow



I. O. Shchekoturov
https://www.sechenov.ru
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Igor O. Shchekoturov, Cand. of Sci. (Med.), Radiologist, Assistant

Department of Radiation Diagnostics and Therapy

119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow



E. I. Vasilenko
https://www.sechenov.ru
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Elena I. Vasilenko, Cand. of Sci. (Med.), Head of the Unit, Radiologist, Assistant

Clinical Center; University Clinic No. 1; Radionuclide Diagnostics Unit; Sklifosovsky Institute of Clinical Medicine; Department of Radiation Diagnostics and Therapy

119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow



P. M. Cholak
https://www.sechenov.ru
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Petr M. Cholak, Radiologist

Clinical Center of the I.M. Sechenov; University Clinic No. 1; Radionuclide Diagnostics Unit

119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow



A. S. Emelyanova
https://www.sechenov.ru
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Arina S. Emelyanova, 4th year student

Faculty of Medicine

119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow



K. A. Savostyanov
https://www.sechenov.ru
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Kirill A. Savostyanov, Cand. of Sci. (Med.), Physician of Superior Expert Category, Head of the Unit, Associate Professor

Clinical Center; University Clinic No. 1; Unit of X-ray Surgical Methods of Diagnostics and Treatment; Department of X-ray Endovascular Diagnostics and Treatment

119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow



A. V. Egorov
https://www.sechenov.ru
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Alexey V. Egorov, Doct. of Sci. (Med.), Head of the Department, Professor

Clinical Center; University Clinic No. 1; Surgery Department; Faculty Surgery; Sklifosovsky Department

119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow



F. P. Vetshev
https://www.sechenov.ru
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Fedor P. Vetshev, Doct. of Sci. (Med.), Head of the of the Chair

Medical Faculty; Chair of Faculty-Based Surgery № 1

119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow



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Sudakov M.A., Shchekoturov I.O., Vasilenko E.I., Cholak P.M., Emelyanova A.S., Savostyanov K.A., Egorov A.V., Vetshev F.P. Liver venous deprivation in the prevention of post-resection hepatic failure. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2024;29(2):134-141. (In Russ.) https://doi.org/10.16931/1995-5464.2024-2-134-141

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ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)