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  • Heil, J.Univ Zurich, Switzerland; Goethe Univ Frankfurt, Germany (author)

Preoperative portal vein or portal and hepatic vein embolization: DRAGON collaborative group analysis

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2021-03-01
  • OXFORD UNIV PRESS,2021
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-178425
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178425URI
  • https://doi.org/10.1093/bjs/znaa149DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Y Background: The extent of liver resection for tumours is limited by the expected functional reserve of the future liver remnant (FRL), so hypertrophy may be induced by portal vein embolization (PVE), taking 6 weeks or longer for growth. This study assessed the hypothesis that simultaneous embolization of portal and hepatic veins (PVE/HVE) accelerates hypertrophy and improves resectability. Methods: All centres of the international DRAGON trials study collaborative were asked to provide data on patients who had PVE/HVE or PVE on 2016-2019 (more than 5 PVE/HVE procedures was a requirement). Liver volumetry was performed using OsiriX MD software. Multivariable analysis was performed for the endpoints of resectability rate, FLR hypertrophy and major complications using receiver operating characteristic (ROC) statistics, regression, and Kaplan-Meier analysis. Results: In total, 39 patients had undergone PVE/HVE and 160 had PVE alone. The PVE/HVE group had better hypertrophy than the PVE group (59 versus 48 per cent respectively; P=0.020) and resectability (90 versus 68 per cent; P=0.007). Major complications (26 versus 34 per cent; P=0.550) and 90-day mortality (3 versus 16 per cent respectively, P = 0.065) were comparable. Multivariable analysis confirmed that these effects were independent of confounders. Conclusion: PVE/HVE achieved better FLR hypertrophy and resectability than PVE in this collaborative experience.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Korenblik, R.Maastricht Univ, Netherlands; Maastricht Univ, Netherlands (author)
  • Heid, F.Univ Zurich, Switzerland; Cantonal Hosp Winterthur, Switzerland (author)
  • Bechstein, W. O.Goethe Univ Frankfurt, Germany (author)
  • Bemelmans, M.Maastricht Univ, Netherlands (author)
  • Binkert, C.Cantonal Hosp Winterthur, Switzerland (author)
  • Björnsson, BergthorLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)berbj34 (author)
  • Breitenstein, S.Cantonal Hosp Winterthur, Switzerland (author)
  • Detry, O.Univ Liege, Belgium (author)
  • Dili, A.Ctr Hosp Univ Dinant Godinne St Elisabeth UCL Nam, Belgium (author)
  • Dondelinger, R. F.Univ Hosp Liege, Belgium (author)
  • Gerard, L.Univ Hosp Liege, Belgium (author)
  • Gimenez-Maurel, T.Miguel Univ Hosp, Spain; Univ Zaragoza, Spain (author)
  • Guiu, B.St Eloi Univ Hosp, France (author)
  • Heise, D.Univ Hosp Aachen, Germany (author)
  • Hertl, M.Rush Univ, IL 60612 USA (author)
  • Kalil, J. A.Rush Univ, IL 60612 USA (author)
  • Klein, J. J.Rush Univ, IL 60612 USA (author)
  • Lakoma, A.McGill Univ, Canada (author)
  • Neumann, U. P.Univ Hosp Aachen, Germany (author)
  • Olij, B.Maastricht Univ, Netherlands (author)
  • Pappas, S. G.Rush Univ, IL 60612 USA (author)
  • Sandström, PerLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)persa07 (author)
  • Schnitzbauer, A.Goethe Univ Frankfurt, Germany (author)
  • Serrablo, A.Miguel Univ Hosp, Spain; Univ Zaragoza, Spain (author)
  • Tasse, J.Rush Univ, IL 60612 USA (author)
  • Van der Leij, C.Maastricht Univ, Netherlands (author)
  • Metrakos, P.McGill Univ, Canada (author)
  • Van Dam, R.Maastricht Univ, Netherlands; Maastricht Univ, Netherlands; Univ Hosp Aachen, Germany (author)
  • Schadde, E.Univ Zurich, Switzerland; Cantonal Hosp Winterthur, Switzerland; Rush Univ, IL 60612 USA (author)
  • Univ Zurich, Switzerland; Goethe Univ Frankfurt, GermanyMaastricht Univ, Netherlands; Maastricht Univ, Netherlands (creator_code:org_t)

Related titles

  • In:British Journal of Surgery: OXFORD UNIV PRESS108:7, s. 834-8420007-13231365-2168

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