Venous Embolization of the Liver

This book examines theoretical advantages and clinical implications of venous embolization techniques, including portal vein and hepatic vein embolization. It offers a useful survey of basic research in the fascinating area of liver regeneration physiology.

Venous Embolization of the Liver: Radiologic and Surgical Practice explores the theoretical advantages and clinical implications for utilizing Venous Embolization techniques, including portal vein and hepatic vein embolization.

The practice of venous embolization of the liver was originally developed in Japan by Dr. Makuuchi (one of the co-editors of this book) in 1990 and since then, the techniques reviewed in this book are practiced throughout the world and are now considered the standard of care at many hepatobiliary centres worldwide.

Venous Embolization of the Liver: Radiologic and Surgical Practice covers a multitude of topics, including: pertinent vascular (microscopic and macroscopic) and surgical anatomy, liver regeneration (including the atrophy-hypertrophy complex), historical perspectives of major hepatic resection, various hepatobiliary surgical procedures , factors affecting hypertrophy, pathophysiology of embolization and resection, embolization techniques (including approaches and embolic agents), the indications for embolization and resection (including pre-operative volumetric and functional assessment and post-embolization followup), potential complications, outcomes data for different diseases, recently advocated strategies (including definitive treatment of hepatocellular carcinoma using portal vein embolization after transcatheter arterial chemoembolization) and future perspectives.

This book is a valuable resource for interventional radiologists and hepatobiliary surgeons who perform the embolization procedures and liver resections. Venous Embolization of the Liver: Radiologic and Surgical Practice can also be used secondarily by diagnostic radiologists, medical oncologists specializing in gastrointestinal malignancies, hepatologists, gastroenterologists, liver transplant surgeons and basic scientists interested in liver regeneration physiology research.

Many detailed illustrations of liver segmental and vascular anatomy and embolization techniques State-of-the-art imaging and intraoperative photography will be used to highlight these innovative techniques Graphs and tables will be used to provide detailed outcome data for comparisons of various embolic agents and techniques as well as survival outcomes for various hepatobiliary diseases for which venous embolization will be utilized. Includes supplementary material: sn.pub/extras

Inhalt
History and Anatomy.- History of Major Liver Resections.- Microcirculation of the Liver.- Portal and Hepatic Vein Anatomy.- Surgical Anatomy of the Liver in the Glissonean Pedicle Approach: What We Need to Know.- Liver Anatomy: Variant Venous Anatomy and Implications for Resection.- Liver Regeneration and the Atrophy-Hypertrophy Complex.- Preoperative Assessment.- Preoperative Imaging of Liver Cancers: Hepatocellular Carcinoma.- Imaging of Hilar Cholangiocarcinoma.- Preoperative Imaging of Liver Cancer: Metastases.- CT Volumetry: Japanese Methodology.- Morphometric Imaging Techniques and the Functional Liver Remnant.- Preoperative Assessment with Functional Studies of the Liver.- Embolization Techniques.- Indications and Contraindications for Portal Vein Embolization.- Embolic Materials Used for Portal Vein Embolization.- Trans Ileocolic Portal Vein Embolization.- Contralateral Approach to Portal Vein Embolization.- The Ipsilateral Approach for Right PVE with or Without Segment 4.- Complications of Portal Vein Embolization.- Hepatic Vein Embolization.- Clinical Outcomes for Liver Metastases.- Clinical Outcomes for Biliary Tract Cancer.- Clinical Outcomes for Hepatocellular Carcinoma.- Nontraditional Resection Including the Two-Stage Hepatectomy.- Preoperative Portal Vein Embolization Strategy for Complex Liver Resection.- Sequential PVE and TAE for Biliary Tract Cancer and Liver Metastases.- Sequential TACE and PVE for Hepatocellular Carcinoma.- Evidence and the Future.- Chemotherapy and Its Effect on Liver Hypertrophy.- Tumor Growth After Embolization.- Portal Vein Embolization Prior to Major Hepatectomy: The Evidence.- Enhancing Hepatic Regeneration with Stem Cells and Portal Vein Embolization.- Future Perspectives.- Index.