Journal of International Oncology ›› 2020, Vol. 47 ›› Issue (8): 492-495.doi: 10.3760/cma.j.cn371439-20191112-00063

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Clinical application progress of variations in the technique of liver partition from ALPPS

Liu Junguo, Zhang Jinjuan, Wang Yijun()   

  1. Department of Hepatobiliary Surgery, Tianjin Third Central Hospital, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Artificial Cell Engineering, Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin 300170, China
  • Received:2019-11-12 Revised:2020-02-20 Online:2020-08-08 Published:2020-10-22
  • Contact: Wang Yijun E-mail:wangyijun_carl@163.com
  • Supported by:
    Health Industry Key Project of Tianjin(15KG114);Science and Technology Program of Tianjin of China(17YFZCSY01070);Science and Technology Program of Tianjin of China(17ZXMFSY00050)

Abstract:

There are many technical variations and improvements in associating liver partition and portal vein ligation for staged hepatectomy (ALPPS). Its main purpose is to reduce the incidence of complications and mortality, and at the same time, the future liver remnant compensation can be increased more faster and its function becomes more robust. In clinical practice, different researchers have studied the variation and related clinical results of liver disconnection technique in ALPPS, such as partial hepatectomy, portal vein ligation assisted radio frequency hepatectomy, laparoscopic microwave ablation and portal vein ligation staged hepatectomy, combined liver tourniquet and portal vein ligation staged hepatectomy, continuous combined liver tourniquet and portal vein ligation staged hepatectomy, in situ hepatectomy combined with portal vein embolization via anterior approach and portal vein embolization instead of hepatectomy separation of visceral substance, and so on.

Key words: Liver neoplasms, Hepatectomy, Associated liver partition, Portal vein ligation, Future liver remnant