6533b85ffe1ef96bd12c196c

RESEARCH PRODUCT

Catheterization of the Portal Vein by the Transumbilical Approach for Intrahepatic Chemotherapy

M. StahlschmidtH. WeigandJ. Fischer

subject

Liver perfusionChemotherapymedicine.medical_specialtybusiness.industrymedicine.medical_treatmentPortal veinmedicine.diseasePrimary tumorCathetermedicine.anatomical_structureLaparotomymedicineRadiologybusinessPerfusionArtery

description

For patients with colorectal malignomas and surgically nonresectable metastases, regional long-term perfusion with chemotherapeutic drugs may be valuable, according to the current view. Several techniques are used for regional long-term liver perfusion; either the arterial approach via the hepatic artery or a venous approach via the portal vein can be chosen. A long-term catheter can be implanted in the hepatic artery or the portal vein during the resection of the primary tumor or during the “second-look” procedure. In either case a laparotomy has to be done.

https://doi.org/10.1007/978-3-642-82025-0_16