Totally laparoscopic ALPPS for primary liver cancer complicated with cirrhosis----application of ;round-the-liver ligation to replace parenchymal transection
Abstract：Objective To study the feasibility,effectiveness and safety of totally laparoscopic ALPPS in treating primary liver cancer complicated with cirrhosis and to introduce the experience of using round-the-liver ligation to replace parenchymal transection.Methods Retrospectively analyze the clinical data of a patient with a left-lobe liver cancer who underwent totally laparoscopic ALPPS in the Sir Run Run Shaw Hospital in May 2014.The first-stage surgery was laparoscopic ligation of the left branch of portal vein and execution of round-the-liver ligature.11 days later laparoscopic left lobectomy was carried out as the second-stage surgery.The perioperative indicators were then analyzed. Results The operation time was 290 minutes for the first-stage surgery and 160 minutes for the second-stage surgery. Liver function returned to normal 3 days after the first-stage surgery and right lobe volume increased 94.8%compared to the preoperative volume.The second-stage laparoscopic left lobectomy was then performed uneventfully and liver function gradually returned to normal after the second-stage surgery.Conclusion Both two stage operations can be safely performed laprarscopically.ALPPS also can Results in a marked and rapid hypertrophy of future remnant even in liver cancer complicated with cirrhosis.Round-the-liver ligature can replace liver parenchymal transection to reduce complications with similar therapeutic results.
Keywords：laparoscopicrounding-the-liver ligatureliver cirrhosishepatocelullar carcinomaremnant liver volumeAssociating liver partition with portal vein ligation for staged hepatectomy
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 637-640 )