Monosegment ALPPS: A new variant of the techniques for rapid hepatic regeneration. Critical review of the initial results of our series

被引:10
作者
Montalva Oron, Eva Maria [1 ]
Maupoey Ibanez, Javier [1 ]
Banuelos Carrillo, Romulo [1 ]
Bosca Robledo, Andrea [1 ]
Orbis Castellanos, Juan Francisco [1 ]
Moya Herraiz, Angel [1 ]
Ballester Valles, Carmen [3 ]
Perez Rojas, Judith [2 ]
Aparicio Urtasun, Jorge [4 ]
Lopez-Andujar, Rafael [1 ]
机构
[1] Hosp Univ & Politecn La Fe, Unidad Cirugia Hepatobiliopancreat & Trasplante, Valencia, Spain
[2] Hosp Univ & Politecn La Fe, Serv Anat Patol, Valencia, Spain
[3] Hosp Univ & Politecn La Fe, Area Diagnost Imagen, Valencia, Spain
[4] Hosp Univ & Politecn La Fe, Med Oncol Serv, Valencia, Spain
来源
CIRUGIA ESPANOLA | 2015年 / 93卷 / 07期
关键词
Hepatectomy; Hepatic insufficiency; Portal vein; Hypertrophy; ALPPS; POSTOPERATIVE LIVER-FAILURE; PORTAL-VEIN EMBOLIZATION; COLORECTAL METASTASES; LIGATION; HEPATECTOMY; RESECTION; HYPERTROPHY; PARTITION; VOLUME;
D O I
10.1016/j.ciresp.2015.02.011
中图分类号
R61 [外科手术学];
学科分类号
摘要
Associating Liver Partition and Portal vein ligation for Staged hepatectomy (ALPPS) is a novel surgical technique that provides fast and effective growth of liver remnant volume, allowing surgical resection of hepatic lesions initially considered unresectable. Short and long-term results and the convenience of carrying out this technique are issues that still remain under debate while waiting for the final outcomes of the multicenter registries with larger number of cases. The aim of this paper is to describe, from a critical point of view, the outcomes of the cases performed at our center (n = 8). On the other hand, it is possible to leave only one hepatic segment as a liver remnant and we illustrate this new surgical procedure (ALPPS monosegment) performed in one patient. (C) 2014 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:436 / 443
页数:8
相关论文
共 23 条
[1]   Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS): Tips and Tricks [J].
Alvarez, Fernando A. ;
Ardiles, Victoria ;
Sanchez Claria, Rodrigo ;
Pekolj, Juan ;
de Santibanes, Eduardo .
JOURNAL OF GASTROINTESTINAL SURGERY, 2013, 17 (04) :814-821
[2]   New method of hepatic regeneration [J].
Alvarez, Fernando A. ;
Iniesta, Jose ;
Lastiri, Jose ;
Ulla, Marina ;
Bonadeo Lassalle, Fernando ;
de Santibanes, Eduardo .
CIRUGIA ESPANOLA, 2011, 89 (10) :645-649
[3]  
Baumgart J, 2011, HPB S2, V13, P71
[4]   Selection of patients for resection of hepatic colorectal metastases: Expert consensus statement [J].
Charnsangavej, Chusilp ;
Clary, Bryan ;
Fong, Yuman ;
Grothey, Axel ;
Pawlik, Timothy M. ;
Choti, Michael A. .
ANNALS OF SURGICAL ONCOLOGY, 2006, 13 (10) :1261-1268
[5]   Playing Play-Doh to Prevent Postoperative Liver Failure The "ALPPS" approach [J].
de Santibanes, Eduardo ;
Clavien, Pierre-Alain .
ANNALS OF SURGERY, 2012, 255 (03) :415-417
[6]   How to Avoid Postoperative Liver Failure: A Novel Method [J].
de Santibanes, Eduardo ;
Alvarez, Fernando A. ;
Ardiles, Victoria .
WORLD JOURNAL OF SURGERY, 2012, 36 (01) :125-128
[7]   Classification of surgical complications - A new proposal with evaluation in a cohort of 6336 patients and results of a survey [J].
Dindo, D ;
Demartines, N ;
Clavien, PA .
ANNALS OF SURGERY, 2004, 240 (02) :205-213
[8]   Selective portal vein embolization and ligation trigger different regenerative responses in the rat liver [J].
Furrer, Katarzyna ;
Tian, Yinglma ;
Pfammatter, Thomas ;
Jochum, Wolfram ;
El-Badry, Ashraf Mohammad ;
Graf, Rolf ;
Clavien, Pierre-Alain .
HEPATOLOGY, 2008, 47 (05) :1615-1623
[9]   The ALPPS technique for bilateral colorectal metastases: Three "variations on a theme" [J].
Gauzolino R. ;
Castagnet M. ;
Blanleuil M.L. ;
Richer J.P. .
Updates in Surgery, 2013, 65 (2) :141-148
[10]   Treatment of Metastatic Colon Cancer: "The Times They Are A-Changing" [J].
Kemeny, Nancy E. .
JOURNAL OF CLINICAL ONCOLOGY, 2013, 31 (16) :1913-1916