Variations and adaptations of associating liver partition and portal vein ligation for staged hepatectomy with the guidance of damage control surgery

VernacularTitle:损伤控制理念下联合肝脏分隔和门静脉结扎的二步肝切除术手术方式改进
Author: Yajin CHEN ; Jun CAO
Publication Type:Journal Article
Keywords: Liver neoplasms; Associated liver partition and portal vein ligation for staged hepatectomy; Damage control surgery; Technical variations
From: Chinese Journal of Digestive Surgery 2016;15(5):431-437
CountryChina
Language:Chinese
Abstract: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is used for patients with advanced hepatocellular carcinoma who cannot tolerate major hepatectomy due to an insufficient future liver remnant,but the morbidity and mortality rate in the perioperative period are still high.Available studies indicate that damage control surgery variations such as laparoscopic procedure and associating radiofrequency/microwave ablation/liver tourniquet and portal vein ligation could improve the morbidity and mortality associated with ALPPS,as could portal vein embolization.However,randomized controlled trials are needed to determine benefits in technical variations.