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Safe Major Hepatectomy After Preoperative Liver Regeneration: Preoperative PVE, Two-Stage Hepatectomy, ALPPS and Hepatic Vein Deprivation provides both the 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.

The mortality rate after major hepatectomies is high worldwide and there is a need to establish a strategy for safe major hepatectomies after liver regeneration. 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), as well as the background, technique, and results of hepatic vein occlusion. Using the evaluation of the risk-benefit balance will aid in avoiding post-hepatectomy liver failure and subsequent patient death.

  • Coverage of the 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 occlusion.
  • Provides guidance to increase the future liver remnant (FLR) volume as the key to avoid posthepatectomy liver failure and succeeding patients’ death after major hepatectomy.
  • Helps guide the optimal way to program major surgery with decreased risk of liver failure.

1. Safe Major Hepatectomy After Preoperative Liver Regeneration - p. Page i 2. Cover - p. Page i 3. Front Matter - p. Page ii 4. Table of Contents - p. Page iii 5. Copyright - p. Page iv 6. Contributors - p. Page iv 7. Foreword - p. Page vii 8. Preface - p. Page viii 9. List of Illustrations - p. Page x 10. List of Tables - p. Page xi 11. Chapter 1 : Toward safe major hepatectomy after preoperative liver regeneration - p. Page xi 12. Chapter 2 : Hepatic functional deterioration in chronic liver disease - p. Page 7 13. Chapter 3 : Evaluation of preoperative hepatic functional reserve before major hepatectomy - p. Page 16 14. Chapter 4 : Major hepatectomy after preoperative liver regeneration—Experience in Tokyo University - p. Page 26 15. Chapter 5 : Major hepatectomy after preoperative liver regeneration—Experience in MDACC - p. Page 38 16. Chapter 6 : Portal venous anatomy and percutaneous preoperative portal vein embolization - p. Page 52 17. Chapter 7 : Mechanism of liver segmental hypertrophy after preoperative portal vein embolization and its pathological, volumetric, and functional aspects - p. Page 73 18. Chapter 8 : Preoperative portal vein embolization and major hepatectomy for perihilar cancer - p. Page 99 19. Chapter 9 : Laparoscopic major hepatectomy after liver regeneration - p. Page 119 20. Chapter 10 : ALPPS versus two-stage hepatectomy - p. Page 135 21. Chapter 11 : Functional and volumetric regeneration following PVE and ALPPS - p. Page 145 22. Chapter 12 : ALPPS for cirrhotic liver - p. Page 161 23. Chapter 13 : Mini-ALPPS - p. Page 178 24. Chapter 14 : Modified ALPPS procedures - p. Page 195 25. Chapter 15 : Major hepatectomy following liver venous deprivation - p. Page 212 26. Index - p. Page 223

Descripcion
Descripción

Safe Major Hepatectomy After Preoperative Liver Regeneration: Preoperative PVE, Two-Stage Hepatectomy, ALPPS and Hepatic Vein Deprivation provides both the 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.

The mortality rate after major hepatectomies is high worldwide and there is a need to establish a strategy for safe major hepatectomies after liver regeneration. 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), as well as the background, technique, and results of hepatic vein occlusion. Using the evaluation of the risk-benefit balance will aid in avoiding post-hepatectomy liver failure and subsequent patient death.

  • Coverage of the 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 occlusion.
  • Provides guidance to increase the future liver remnant (FLR) volume as the key to avoid posthepatectomy liver failure and succeeding patients’ death after major hepatectomy.
  • Helps guide the optimal way to program major surgery with decreased risk of liver failure.

1. Safe Major Hepatectomy After Preoperative Liver Regeneration - p. Page i 2. Cover - p. Page i 3. Front Matter - p. Page ii 4. Table of Contents - p. Page iii 5. Copyright - p. Page iv 6. Contributors - p. Page iv 7. Foreword - p. Page vii 8. Preface - p. Page viii 9. List of Illustrations - p. Page x 10. List of Tables - p. Page xi 11. Chapter 1 : Toward safe major hepatectomy after preoperative liver regeneration - p. Page xi 12. Chapter 2 : Hepatic functional deterioration in chronic liver disease - p. Page 7 13. Chapter 3 : Evaluation of preoperative hepatic functional reserve before major hepatectomy - p. Page 16 14. Chapter 4 : Major hepatectomy after preoperative liver regeneration—Experience in Tokyo University - p. Page 26 15. Chapter 5 : Major hepatectomy after preoperative liver regeneration—Experience in MDACC - p. Page 38 16. Chapter 6 : Portal venous anatomy and percutaneous preoperative portal vein embolization - p. Page 52 17. Chapter 7 : Mechanism of liver segmental hypertrophy after preoperative portal vein embolization and its pathological, volumetric, and functional aspects - p. Page 73 18. Chapter 8 : Preoperative portal vein embolization and major hepatectomy for perihilar cancer - p. Page 99 19. Chapter 9 : Laparoscopic major hepatectomy after liver regeneration - p. Page 119 20. Chapter 10 : ALPPS versus two-stage hepatectomy - p. Page 135 21. Chapter 11 : Functional and volumetric regeneration following PVE and ALPPS - p. Page 145 22. Chapter 12 : ALPPS for cirrhotic liver - p. Page 161 23. Chapter 13 : Mini-ALPPS - p. Page 178 24. Chapter 14 : Modified ALPPS procedures - p. Page 195 25. Chapter 15 : Major hepatectomy following liver venous deprivation - p. Page 212 26. Index - p. Page 223

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