Research progress of three techniques for hepatic hyperplasia
10.3760/cma.j.cn113884-20220813-00331
- VernacularTitle:三种肝叶增生技术的研究进展
- Author:
Haojie XU
1
;
Jiaze XU
;
Zhiming HU
;
Hongguo YANG
Author Information
1. 浙江中医药大学第二临床医学院，杭州 310051
- Keywords:
Hepatectomy;
Portal vein embolization;
Associating liver partition and portal vein ligation for staged hepatectomy;
Liver venous deprivation
- From:
Chinese Journal of Hepatobiliary Surgery
2023;29(3):227-230
- CountryChina
- Language:Chinese
-
Abstract:
Surgical resection is one of the important means to achieve long-term survival for patients with liver malignant tumor. However, most of the liver malignant tumor has been diagnosed in the middle and late stage, and lose the chance of surgical treatment. For these patients who have lost the chance of surgery, some surgeons have proposed the concept of planned liver resection, which is to reduce tumor stage and increase future liver remnant (FLR) in a planned way, so as to improve the safety of surgery and prolong the survival time of patients after surgery. For patients with FLR insufficiency after prior evaluation or/and treatment, the technique of hepatic hyperplasia is an important part of planned hepatectomy, that is, to effectively increase FLR in a short period of time by various means. Portal vein ligation (PVL) and portal vein embolization (PVE), associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) and liver venous deprivation (LVD) are three main techniques for hepatic hyperplasia. This article reviews the principle, effect and safety of three liver augmentation techniques.
