Venous Embolization of the Liver: Radiologic and Surgical Practice
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Venous Embolization of the Liver: Radiologic and Surgical Practice explores thetheoretical 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. Front Matter....Pages i-xvi Front Matter....Pages 1-1 History of Major Liver Resections....Pages 3-8 Microcirculation of the Liver....Pages 9-13 Portal and Hepatic Vein Anatomy....Pages 15-22 Surgical Anatomy of the Liver in the Glissonean Pedicle Approach: What We Need to Know....Pages 23-27 Liver Anatomy: Variant Venous Anatomy and Implications for Resection....Pages 29-36 Liver Regeneration and the Atrophy–Hypertrophy Complex....Pages 37-47 Front Matter....Pages 49-49 Preoperative Imaging of Liver Cancers: Hepatocellular Carcinoma....Pages 51-59 Preoperative Imaging of Liver Cancers: Hilar Cholangiocarcinoma....Pages 61-72 Preoperative Imaging of Liver Cancers: Metastases....Pages 73-81 CT Volumetry: The Japanese Methodology....Pages 83-94 Morphometric Imaging Techniques and the Functional Liver Remnant....Pages 95-105 Preoperative Assessment with Functional Studies of the Liver....Pages 107-120 Front Matter....Pages 121-121 Indications and Contraindications for Portal Vein Embolization....Pages 123-128 Embolic Materials Used for Portal Vein Embolization....Pages 129-136 Transileocolic Portal Vein Embolization....Pages 137-142 Contralateral Approach to Portal Vein Embolization....Pages 143-149 The Ipsilateral Approach for Right PVE with or Without Segment 4....Pages 151-158 Complications of Portal Vein Embolization....Pages 159-168 Hepatic Vein Embolization....Pages 169-175 Front Matter....Pages 177-177 Clinical Outcomes for Hepatocellular Carcinoma....Pages 179-189 Front Matter....Pages 177-177 Clinical Outcomes for Biliary Tract Cancer....Pages 191-200 Clinical Outcomes for Liver Metastases....Pages 201-215 Front Matter....Pages 217-217 Nontraditional Resection Including the Two-Stage Hepatectomy....Pages 219-227 Preoperative Portal Vein Embolization Strategy for Complex Liver Resection....Pages 229-239 Sequential PVE and TAE for Biliary Tract Cancer and Liver Metastases....Pages 241-248 Sequential TACE and PVE for Hepatocellular Carcinoma....Pages 249-259 Front Matter....Pages 261-261 Chemotherapy and Its Effect on Liver Hypertrophy....Pages 263-269 Tumor Growth After Portal Vein Embolization....Pages 271-278 Enhancing Hepatic Regeneration with Stem Cells and Portal Vein Embolization....Pages 279-292 Portal Vein Embolization Prior to Major Hepatectomy: The Evidence....Pages 293-305 Future Perspectives....Pages 307-310 Back Matter....Pages 311-322
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