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Major liver resections are limited by the volume of future liver (FLR) remnant with the risk of subjectingpatient to post surgery liver failure. This increases morbidity and mortality of the patients. However, thetechnique of ipsilateral portal vein embolisation (PVE) has given surgeons extra mileage to consider majorliver resections previously thought to be unresectable. Al cases should be discussed in a multidisciplinarysetting. A good knowledge of portal anatomy and variations should be known as part of selection procedurefor PVE. Base liver functional status should be reviewed before consideration given to PVE. CT volumetryassessment should be made before and after PVE to assess for resectability. Multiple embolic materials areused in current practice, but none have shown superiority. Several complications are related to applicationof PVE, however it is generally regarded a safe procedure. Atleast four weeks are required to assess for FLRwith repeat abdominal cross-sectional imaging. Patients with normal liver function tests achieve maximumhypertrophy in four weeks versus patients with underlying liver disease. Liver surgery is scheduled upto 2to 6 weeks following embolisation. The aim of this article is to provide an overview of current indications,technique, complications and outcomes following PVE.

Major Hepatic Resection Following Portal Vein Embolisation: Indications, Technique and Peri-Operative Outcome