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Venous Embolization of the Liver pp 137–142Cite as

Transileocolic Portal Vein Embolization

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Abstract

Transileocolic portal vein embolization (TIPE) is invasive compared to percutaneous transhepatic portal vein embolization (PTPE) because the procedure requires general anesthesia. There are, however, several advantages: First, it enables the examination of extrahepatic diseases; second, catheter manipulation is easier compared to ipsilateral PTPE because the catheter should not be passed through ramifications with a narrow angle (e.g., from the segment 5 portal vein branch to the segment 6 portal vein branch); third, it provides the opportunity to perform completion portography after embolization. Furthermore, PTPE is not appropriate in cases with multiple or large hepatic tumors considering the risk of puncturing tumors that result in rupture of the tumor and cancer cell seeding. Selection of each approach may principally be based on each operator’s preference, but must be decided according to each patient’s condition.

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Author information

Authors and Affiliations

  1. Hepato-Biliary-Pancreatic Surgery, University of Tokyo, Tokyo, Japan

    Yoji Kishi M.D., Ph.D.

  2. Department of Hepato-Biliary-Pancreatic and Transplant Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

    Yasuji Seyama M.D., Ph.D.

  3. Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo, 150-8935, Japan

    Masatoshi Makuuchi

Authors
  1. Yoji Kishi M.D., Ph.D.
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  2. Yasuji Seyama M.D., Ph.D.
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  3. Masatoshi Makuuchi
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Corresponding author

Correspondence to Masatoshi Makuuchi .

Editor information

Editors and Affiliations

  1. New York-Presbyterian Hospital, New York, 10032, New York, USA

    David C. Madoff

  2. University of Tokyo, Hongo 7-3-1, Tokyo, 113-8656, Japan

    Masatoshi Makuuchi

  3. School of Medicine, Dept. Surgery I, Nagoya University, Tsurumai-cho 65, Nagoya, Aichi-ken, 466-8550, Japan

    Masato Nagino

  4. M.D. Anderson Cancer Center, Dept. Surgical Oncology, University of Texas, Holcombe Blvd. 1515, Houston, 77030, Texas, USA

    Jean-Nicolas Vauthey

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© 2011 Springer-Verlag London Limited

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Kishi, Y., Seyama, Y., Makuuchi, M. (2011). Transileocolic Portal Vein Embolization. In: Madoff, D., Makuuchi, M., Nagino, M., Vauthey, JN. (eds) Venous Embolization of the Liver. Springer, London. https://doi.org/10.1007/978-1-84882-122-4_15

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  • DOI: https://doi.org/10.1007/978-1-84882-122-4_15

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-121-7

  • Online ISBN: 978-1-84882-122-4

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