17 / 35
Page 38
Notes:
allied
academies
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
Selective intra-arterial embolization in benign liver tumors
Ferrer-Puchol
and
C La Parra-Casado
Hospital de la Ribera, Spain
Introduction:
Benign liver tumors occur frequently and often
encountered incidentally. In most cases, they are accurately
diagnosed by non-invasive radiologic imaging techniques.
Most are asymptomatic, but some cause hepatomegaly, right
upper quadrant discomfort, or intraperitoneal hemorrhage.
Treatment is necessary only in a few specific circumstances.
Aim:
The aim of this work is to present cases of symptomatic
benign liver tumors diagnosed and treated with intra-arterial
embolization before surgery.
Material & Methods:
We present the cases of seven patients
diagnosed with symptomatic benign liver tumors that required
treatment: one focal nodular hyperplasia, two giant cavernous
hemangiomas, one hepatic adenomatosis, and three hepatic
adenomas. Once the feeding arteries were identified, tumors
were embolized with polyvinyl alcohol particles (500 μm - 700
μm) and then the feeding artery was plugged with coils if there
was an arterial pedicle to ensure the total vascular exclusion of
the tumor. The surgical intervention took place four to seven
days after embolization.
Results:
All seven patients were women (age range, 23-74
years); presurgical intra-arterial embolization was done in six.
In one patient with adenomatosis, embolization was done
to control intraparenchymal hepatic hemorrhage. In the six
patients who underwent surgery, the tumor was completely
excised and no intraoperative bleeding events or postoperative
complications occurred.
Conclusions:
Provided there is a consensus among the
multidisciplinary team, embolization is a useful option in the
perioperative management of giant and/or symptomatic
benign liver tumors.
Speaker Biography
Ferrer-Puchol is a Medical Doctor specialized in Interventional Radiology. She is
from Valencia (Spain) and she is working at University Hospital in the Radiology
Department. She has her expertise in intra-arterial embolization procedures and in
intra-arterial treatments in Oncology field. She belongs to the Liver Tumors Committee
for consensual decision making. In the teaching field, she is Tutor to the Radiology
Residents conducting their research work. She has directed Doctoral theses and has
published numerous scientific articles in the field of Interventional Radiology.
e:
mferrer@hospital-ribera.com