The Ipsilateral Approach for Right PVE with or Without Segment 4
Portal vein embolization (PVE) is now considered the standard of care to improve the safety for patients undergoing major hepatectomy with an anticipated small future liver remnant (FLR). PVE can induce contralateral liver hypertrophy in preparation for major liver resection and can be performed with various approaches. Which approach is chosen may be dependent on operator preference and on the type and extent of the subsequent resection. This chapter describes the transhepatic ipsilateral approach, an approach whereby access to the portal system is via the liver to be resected. The advantages and disadvantages of this approach will also be discussed.
KeywordsEmbolization Future liver remnant Liver hypertrophy Liver resection Portal vein