Associating liver partition combined with portal vein ligation for staged hepatectomy: a new hepatectomy for the unresectable hepatic neoplasms

VernacularTitle:肝脏离断联合门静脉结扎两步肝切除术治疗复杂肝门部肿瘤
Author: Huanwei CHEN ; Feiwen DENG ; Fengjie WANG ; Jianyuan HU ; Zuojun ZHEN
Publication Type:Journal Article
Keywords: Liver neoplasms; Liver partition; Portal vein ligation; Staged hepatectomy
From: Chinese Journal of Hepatobiliary Surgery 2014;20(7):532-535
CountryChina
Language:Chinese
Abstract: Associating liver partition and portal vein ligation for two-staged hepatectomy(ALPPS) is a novel approach for hepatectomy.The case we reported was a 68 years old male patient diagnosed with hilar cholangiocellular carcinoma and obstructive jaundice.ALPPS surgery was operated.Since the patient's left lateral lobe volume was less than 40％ of the whole liver volume (merely 33.91％),the ligation of the right portal vein,plus in situ split of the junction zone between left medial and left lateral liver lobe and the dissection of portal lymph nodes as the first stage operation was conducted.Abdominal CT on the 8th day after the operation reported an increase on the volume of left lateral lobe by 32％ to 41.5％ of the whole liver volume.On the 12th day after the first stage operation,an extended right trilobate hepatectomy combined with left hepatic duct intra-jejunum drainage was performed as the second operation.The patient completely recovered and was discharged three weeks after the second stage operation.