Preoperative arterial embolization of large liver hemangiomas

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TOPALOĞLU S., OĞUZ Ş., KALAYCI O., ÖZTÜRK M. H., ÇALIK A., DİNÇ H., ...Daha Fazla

Diagnostic and Interventional Radiology, cilt.21, sa.3, ss.222-228, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 3
  • Basım Tarihi: 2015
  • Doi Numarası: 10.5152/dir.2014.14270
  • Dergi Adı: Diagnostic and Interventional Radiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.222-228
  • Karadeniz Teknik Üniversitesi Adresli: Evet

Özet

PURPOSEWe aimed to investigate the efficacy and safety of preopera-tive selective intra-arterial embolization (PSIAE) in the surgical treatment of large liver hemangiomas.METHODSData of 22 patients who underwent resection of large liver hemangiomas were retrospectively analyzed. PSIAE was per-formed in cases having a high risk of severe blood loss during surgery (n=11), while it was not applied in cases with a low risk of blood loss (n=11).RESULTSA total of 19 enucleations and six anatomic resections were performed. Operative time, intraoperative bleeding amount, Pringle period, and blood transfusion were comparable be-tween the two groups (P > 0.05, for all). The perioperative serum aspartate transaminase level was not different be-tween groups (P = 1.000). Perioperative total bilirubin levels were significantly increased in the PSIAE group (P = 0.041). Postoperative hospital stay was longer in the PSIAE group. Surgical complications were comparable between groups (P = 0.476).CONCLUSIONPatients who underwent PSIAE due to a high risk of severe blood loss during resection of large liver hemangiomas had comparable operative success as patients with a low risk of blood loss who were operated without PSIAE. Hence, PSIAE can be used for the control of intraoperative blood loss, espe-cially in surgically difficult cases.