Application of associating liver partition and portal vein ligation for staged hepatectomy in curing liver neoplasms

doi:10.3877/cma.j.issn.1674-0793.2014.03.014

Abstract

Abstract:

Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS)is a surgical technique reported in 2012, the aim of which is to obtain a more rapid and effective increase in future liver remnant (FLR). The first stage of ALPPS has combined portal vein ligation and in situ parenchymal transection for right hepatectomy or trisectionectomy. After an interval of several days, stage II will be performed to remove the diseased liver. It's the volume of FLR that makes an important factor that lowers the resectability of primary or secondary hepatic malignancies. This review has summarized studies in recent years to introduce the applications of ALPPS from the following aspects: surgical methods, indications, points at issue, current situations of research, in order to reveal the promising future of ALPPS.

Key words: Liver tumors, Associating liver partition and portal vein ligation for staged hepatectomy, Hepatic failure, Liver regeneration

Wei Chen, Lijian Liang. Application of associating liver partition and portal vein ligation for staged hepatectomy in curing liver neoplasms[J]. Chinese Archives of General Surgery(Electronic Edition), 2014, 08(03): 237-240.

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References 39

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作者（出版年）	国家	例数	手术间隔天数（d）	肝体积增长率（%）	肝衰竭发生率（%）	并发症发生率（%）	死亡率（%）
Schnitnitzbauer等^[4]（2012）	德国	25	8.0	74.0	-	64.0	12.0
Li等^[5]（2013）	德国	9	13.0	87.0	22.0	22.2	22.0
Knoefel ^[6]（2013）	德国	7	6.0	63.0	-	57.2	14.2
Alvarez等^[3]（2013）	阿根廷	15	7.0	78.0	20.0	53.0	0
Sala等^[7]（2013）	阿根廷	10	7.0	82.0	20.0	40.0	0
Torres等^[8]（2013）	巴西^a	39	14.1	83.0	2.5	59.0	12.8
Dokmak等^[9]（2012）	法国	8	7.0	70.0	-	87.5	25.0
Schadde ^[10]（2014）	瑞士^b	48	-	77.4	12.5	72.9	15.0

作者（出版年）	国家	例数	手术间隔天数（d）	肝体积增长率（%）	肝衰竭发生率（%）	并发症发生率（%）	死亡率（%）
Schnitnitzbauer等^[4]（2012）	德国	25	8.0	74.0	-	64.0	12.0
Li等^[5]（2013）	德国	9	13.0	87.0	22.0	22.2	22.0
Knoefel ^[6]（2013）	德国	7	6.0	63.0	-	57.2	14.2
Alvarez等^[3]（2013）	阿根廷	15	7.0	78.0	20.0	53.0	0
Sala等^[7]（2013）	阿根廷	10	7.0	82.0	20.0	40.0	0
Torres等^[8]（2013）	巴西^a	39	14.1	83.0	2.5	59.0	12.8
Dokmak等^[9]（2012）	法国	8	7.0	70.0	-	87.5	25.0
Schadde ^[10]（2014）	瑞士^b	48	-	77.4	12.5	72.9	15.0

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