Safe Major Hepatectomy after Preoperative Liver Regeneration: Preopearative PVE, Two-Satage Hepatetomy, ALPPS and Hepatic Vein Deprivation
Sakamoto, Yoshihiro
Makuuchi, Masatoshi
Safe Major Hepatectomy After Preoperative Liver Regeneration: Preoperative PVE, Two-Stage Hepatectomy, ALPPS and Hepatic Vein Deprivation provides both history and recent topics of major hepatectomy after liver regeneration-as well as the basic background of liver regeneration-allowing liver surgeons, general surgeons, and hepatologists to increase the safety of major hepatectomy in patients suffering from advanced liver disease. This reference provides importance guidance to cutting edge topics, including the molecular mechanism of liver regeneration after preoperative portal vein embolization (PVE), two-stage hepatectomy, associating liver partition and portal vein occlusion for staged hepatectomy (ALPPS) and results of hepatic vein occlusion. The mortality rate after major hepatectomies is high worldwide and there is a need to establish a strategy for safe major hepatectomies, and hepatectomy after preoperative liver regeneration is a key process to prevent posthepatectomy liver failure (PHLF). Covers various methods of accelerating regeneration of the hemiliver volume, such as portal vein embolization (PVE), two-stage hepatectomy, associating liver partition and portal vein occlusion for staged hepatectomy (ALPPS) and hepatic vein occlusionProvides guidance to increase future liver remnant (FLR) volume as the key to avoid posthepatectomy liver failure and succeeding patients' death after major hepatectomyHelps guide the optimal way to program major surgery with decreased risk of liver failure INDICE: 1. Toward safe major hepatectomy after preoperative liver regeneration 2. Hepatic functional deterioration in chronic liver disease 3. Evaluation of preoperative hepatic functional reserve before major hepatectomy 4. Major hepatectomy after preoperative liver regeneration - Experience in Tokyo University 5. Major hepatectomy after preoperative liver regeneration - Experience in MDACC 6. Portal venous anatomy and percutaneous preoperative portal vein embolization 7. Mechanism of liver segmental hypertrophy after preoperative portal vein embolization and its pathological, volumetric, and functional aspects 8. Preoperative portal vein embolization and major hepatectomy for perihilar cancer 9. Laparoscopic major hepatectomy after liver regeneration 10. ALLPS versus two-stage hepatectomy 11. Functional and volumetric regeneration following PVE and ALPPS 12. ALPPS for cirrhotic liver 13. Mini-ALPPS 14. Modified ALPPS procedures 15. Major hepatectomy following hepatic vein deprivation
- ISBN: 978-0-323-99698-3
- Editorial: Academic Press
- Encuadernacion: Rústica
- Páginas: 250
- Fecha Publicación: 16/01/2024
- Nº Volúmenes: 1
- Idioma: Inglés