Table 1.
Patient | Age/sex | Type of tumour | Pre-POPE volume | Post-POPE volume | Change in volume % | Tumour location | Approach for POPE | Segments embolised | Operation | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
1 | 65/f | CAC | 267 | 550 | 106 | Hilar + segment 4 | Ipsilateral then contralateral vein | 4–8 | Liver not operated | Died 2 months after POPE |
2 | 38/f | HCC | 578 | 703 | 22 | 4–6 + 8 | Contralateral | 4–8 | Extended right hemihepatectomy | Died 1 1 months after operation |
3 | 74/m | HCC | 250 | 602 | 141 | 8 | Ipsilateral | 7 + 8 | Right hemihepatectomy | Died pneumonia postoperatively |
4 | 72/f | HCC | 342 | 551 | 61 | 4–6 | Contralateral | 4–8 | Right hemihepatectomy | Died 19 months after operation |
5 | 70/m | CHM | 373 | 463 | 24 | 3–6 + 8 | Ipsilateral | 4–8 | Extended right hemihepatectomy | Disease free after 4 months |
6 | 67/m | CHM | 442 | 550 | 24 | 2–4 + 8 | Mesenteric | 1–4 + 8 | Extended left hemihepatectomy | Disease free after 5 months |
7 | 72/m | CHM | 349 | 500 | 43 | 4–6 + 8 | Contralateral | 5–8 | Extended right hemihepatectomy | Lung relapse after 30 months |
8 | 62/m | CAC | 424 | 329 | −22 | Hilar 5 + 6 | Contralateral | 5 + 6 and left branch occlusion | Inoperable at laparotomy | Trial of chemotherapy Died 3 1 months after POPE |
Patient details: f = female, m = male, CAC = cholangiocarcinoma, HCC = hepatocellular carcinoma, CHM = colorectal hepatic metastasis. Volume is given in cc. PRE-POPE VOLUME = projected volume of the liver segments to remain after operation calculated from MRI, POST-POPE VOLUME =Volume of the same segments after embolisation.* = not resected.