Efficacy of transcatheter arterial chemoembolization via omentul artery for hepatocellular carcinma
- VernacularTitle:网膜动脉栓塞化疗在肝癌治疗中的价值
- Author:
Qiang LI
;
Maoqiang WANG
;
Peng SONG
;
Feng DUAN
;
Fengyong LIU
;
Zhijun WANG
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Omental artery;
Chemoembolization,therapeutic;
Angiography;
Interventional therapy
- From:Chinese Journal of Digestive Surgery
2008;7(6):425-427
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the value of transcatheter arterial chemoembolization(TACE)via omental artery for hepatocellular carcinoma(HCC).Methods Twenty-seven patients with HCC which was nourished by omental artery underwent TACE.Postoperative clinical manifestations,laboratory tests and imaging findings were observed and compared with the angiographic findings.Results The tumor Was located at the peripheral region of right lobe in 26 patients and at the lower part of segment IV in 1.Thirty-eight omental arteries supplying HCC were observed angiographically.The omental artery in 18 patients was successfully embolized.Hepatic hemostasis was achieved in all patients with ruptured HCC.No severe complication occurred,and tumor recurrence Wag observed in 15 patients postoperatively.Conclusions Omental artery supplying HCC is mostly seen in patients who have undergone multiple TACEs and patients with the focus which is located at the peripheral region of right lobe.TACE via omentai artery is safe and feasible,although the residual rate of the HCC is high.
