Current status and perspectives of the application of two-stage hepatectomy for insufficient future liver remnant volume

VernacularTitle:剩余肝体积不足的二期肝切除技术的应用现状与展望
Author: Shuxian SONG ¹ ; Yundong LI ¹ ; Yuqing ZHANG ¹ ; Guangxu ZOU ¹ ; Kuan LI ¹ ; Hongqiang GAO ¹
Author Information

1. Department of Hepatobiliary Pancreatic Surgery， The First People’s Hospital of Kunming/The Affiliated Calmette Hospital of Kunming Medical University， Kunming 650100， China
Publication Type:Review
Keywords: Hepatectomy; Liver Neoplasms; Therapeutics
From: Journal of Clinical Hepatology 2025;41(10):2168-2173
CountryChina
Language:Chinese
Abstract: Insufficient future liver remnant volume remains a critical limitation for single-stage resection in patients with hepatic malignancies. The techniques for promoting future liver remnant hypertrophy to realize two-stage hepatectomy include portal vein embolization， associating liver partition and portal vein ligation for staged hepatectomy， and portal vein ligation. In recent years， the application of auxiliary liver transplantation has further facilitated two-stage total hepatectomy. This article systematically reviews the clinical applications of these techniques and analyzes their advantages and limitations， so as to provide a reference for optimizing clinical decision-making.