[Problems and strategies in clinical application of associating liver partition and portal vein ligation for staged hepatectomy].
Zhonghua Wai Ke Za Zhi
; 58(11): 835-840, 2020 Nov 01.
Article
en Zh
| MEDLINE
| ID: mdl-33120445
ABSTRACT
Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) can speed up the regeneration of future liver remnant (FLR) in short period of time, and offer a chance for surgical resection for patients without sufficient FLR. However, ALPPS still remains controversy due to its high perioperative morbidity and mortality, as well as the uncertain long-term oncological benefits. How to solve these problems is the key to ensure the safety of surgery.This article focus on the indication selection, liver function reserve evaluation and timing to perform the second stage surgery, surgical mode evolution and comparison with portal venous embolization/portal venous ligation+two-stage hepatectomy.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Vena Porta
/
Hepatectomía
/
Hígado
/
Neoplasias Hepáticas
Tipo de estudio:
Risk_factors_studies
Límite:
Humans
Idioma:
Zh
Revista:
Zhonghua Wai Ke Za Zhi
Año:
2020
Tipo del documento:
Article
País de afiliación:
China