Review
Copyright ©The Author(s) 2019.
World J Hepatol. Jun 27, 2019; 11(6): 513-521
Published online Jun 27, 2019. doi: 10.4254/wjh.v11.i6.513
Table 1 Contraindications of portal vain embolization
Contraindications
AbsoluteRelative
Portal vein embolizationOvert clinical portal vein hypertensionMild portal vein hypertension
Extensive invasion of portal vein precluding safe catheter manipulationTumor extension to the FLR
Biliary dilatation of the FLR
Extrahepatic metastatic disease
Complete lobar portal vein occlusion
Uncorrectable coagulopathy
Renal insufficiency
Table 2 Comparison between associated liver partition and portal vein ligation for staged hepatectomy and conventional two-staged hepatectomy
ComplicationALPPSConventional TSH
Major morbidity (Clavien-Dindo IIIA)40%33%
Bile leaks24%5.8%
Sepsis20%0%
Re exploration28%2.9%
Liver-related mortality12%5.8%