The portal vein embolization, using transcutaneous transsplenic access in patients with extensive focal hepatic diseases
Objective. Basing on analysis of own experience of the splenic portal access application, to determine its possibilities as an alternative to contralateral transhepatic access.
Маterials and methods. Results of the preoperative portal veins branches embolization in 11 patients with extensive hepatic tumors, using transsplenic portal access, were analyzed.
Results. Transsplenic portal catheteric access is simple, secure, but because of the spleen individual anatomic peculiarities this kind of access is possible in only 61% patients, who need it.
Conclusion. Transsplenic portal access may be used in patients, needing the preoperative portal veins branches embolization, to whom it is impossible to perform transhepatic portal access through that part of the organ, which is planned for excision.
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