腹腔镜联合肝脏分隔和门静脉结扎的二步肝切除术在肝硬化肝癌治疗中的应用

Preliminary experience of laparoscopic associating liver partition and portal vein ligation for staged hepatectomy for hepatocellular carcinoma with liver cirrhosis

  • 摘要: 腹腔镜联合肝脏分隔和门静脉结扎的二步肝切除术(ALPPS)系创新手术方式,存在技术挑战及手术风险,其在肝硬化肝癌治疗中的应用目前尚处于起步和探索阶段。基于笔者单位前期开展的11例腹腔镜ALPPS治疗肝硬化肝癌的临床资料及随访结果,初步探讨和总结了其适应证、技术要点、并发症防范措施、围术期和肿瘤学结果等,为进一步开展腹腔镜ALPPS治疗肝硬化肝癌的临床实践提供可资借鉴的技术经验和施行方案。

     

    Abstract: Laparoscopic associating liver partition and portal vein ligation for staged hepatectomy(ALPPS) is an innovative surgical procedure with technical challenges and the risk of surgery, its use in the treatment of hepatocellular carcinoma with cirrhosis is still at an early and exploratory stage. Based on the clinical data and follow-up results of 11 cases of laparoscopic ALPPS for the treatment of hepatocellular carcinoma with cirrhosis, the author summarized the indications, techniques, complications, perioperative and oncology results of the procedure preliminarily. This study has provided technical experience and implementation plan in clinical practice of laparoscopic ALPPS for the treatment of hepatocellular carcinoma with cirrhosis.

     

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