New challenge of liver surgery: associating liver partition and portal vein ligation for staged hepatectomy
10.3760/cma.j.issn.1673-9752.2016.05.005
- VernacularTitle:肝脏外科的新挑战:联合肝脏分隔和门静脉结扎的二步肝切除术
- Author:
Zheng WANG
;
Jian ZHOU
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Associating liver partition and portal vein ligation for staged hepatectomy
- From:
Chinese Journal of Digestive Surgery
2016;15(5):428-430
- CountryChina
- Language:Chinese
-
Abstract:
An innovative approach,named associating liver partition and portal vein ligation for staged hepatectomy (ALPPS),has made possible a marked increase in future liver remnant (FLR) over a short period of time,and has challenged the concept of unresectability.To date,ALPPS has been employed for a variety of primary and metastatic liver tumors from many centers across the world.Many technical variations of ALPPS have been described.However,much controversy has surrounded this procedure,and many problems remain to be solved,such as the reasons for rapid hypertrophy,the technical feasibility,safety and long-term oncologic outcomes,and the result compared with the conventional two-stage hepatectomy.These aspects are needed to be evaluated further in large-scale studies.We believe that the ALPPS procedure will has much room for further development.
