RESUMEN
The results of therapeutic hepatic artery embolization (HAE) in 25 patients with malignant unresectable tumors of the liver are discussed. The proximal segments of the hepatic artery were occluded by metal spirals. Thrombosis of the portal vein was accepted as an absolute contraindication for HAE, and a tumor involving more than 50% of the volume of the liver and chronic hepatic insufficiency were considered relative contraindications. After the intervention signs of subjective improvement were noted in 73.9% and signs of objective improvement in 65.2% of cases. The mortality after HAE was 4.2%. The obtained results are evidence of the efficacy of proximal HAE as a method for the treatment of inoperable malignant tumors of the liver.
Asunto(s)
Adenoma de los Conductos Biliares/terapia , Carcinoma Hepatocelular/terapia , Embolización Terapéutica , Hemangiosarcoma/terapia , Arteria Hepática , Neoplasias Hepáticas/terapia , Adenoma de los Conductos Biliares/diagnóstico por imagen , Adulto , Anciano , Anciano de 80 o más Años , Angiografía , Carcinoma Hepatocelular/diagnóstico por imagen , Femenino , Hemangiosarcoma/diagnóstico por imagen , Arteria Hepática/diagnóstico por imagen , Humanos , Neoplasias Hepáticas/diagnóstico por imagen , Neoplasias Hepáticas/secundario , Masculino , Persona de Mediana EdadRESUMEN
Certain technical moments of forming lymphovenous anastomoses in patients with cirrhosis of the liver are described. An experience with 97 operations has shown that the technical means proposed allow postoperative complications to be avoided.