Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy in 2020

S. Cimpean, K. Bobb, G. Cadière
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Abstract

Associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) is proposed as a surgical option for the patients with no other surgical option with failed portal vein embolization or extremely small future liver remnant. Since the first publication of the technique in 2012, this technique evolved nowadays to partial ALPPS and minimal-invasive ALPPS. Conventional two-stage hepatectomy remains a feasible option for older patients and those with a liver to body-weight-ratio of > 0,4.
联合肝分割和门静脉结扎用于2020年分期肝切除术
对于没有其他手术选择的门静脉栓塞失败或未来肝脏残留极小的患者,建议将联合肝分区和门静脉结扎进行分期肝切除术(ALPS)作为一种手术选择。自2012年首次发表该技术以来,该技术如今已发展为部分ALPS和微创ALPS。传统的两阶段肝切除术仍然是老年患者和肝与体重比值>0.4的患者的可行选择。
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