Some hot topics on associating liver partition and portal vein ligation for staged hepatectomy
CAO Jun
CHEN Ya-jin
Abstract：Associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)as a method of palliative treatment is used for patients with advanced hepatocellular carcinoma who cannot tolerate major hepatectomy due to an insufficient volume of future liver remnant. Until now, ALPPS is still a risky surgical procedure,and no reports on long-term outcomes has been published. ALPPS may be safe and feasible for selected patients after sufficient future liver remnant volume evaluations. The timing of the stage 2, the intraoperative damage control and tumor free operation are also important for the incidence of perioperative complications and mortality. It can believe that ALPPS will be demonstrated conclusively as an important part of the operation based multidisciplinary treatment of hepatocellular carcinoma by large-sample prospective randomized controlled studies.
Keywords：portal vein ligationstaged hepatectomyfuture liver remnant volumepalliative treatmentdamage control
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( 713-716 )