Associating liver partition and portal vien ligation for staged hepatectomy
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Graphical Abstract
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Abstract
Complete resection of liver cancer is the main approach for achieving radical resection, and sufficient remnant liver is essential for avoiding hepatic failure after operation. With the aim of increasing remnant liver volume, a new twostage technique, associating liver partition and portal vein ligation for staged hepatectomy (ALPPS), recently has been developed.In this article, the initial experience with 1 case of hepatocellular carcinoma who underwent ALPPS at the Zhongshan Hospital in April 2013 was reported. In the first stage, the right portal vein branch was ligated and subsequently the liver parenchyma was dissected along the falciform ligament to isolate the segment Ⅳ and the left lateral lobe. On postoperative day 7, the remnant liver volume was increased from 291ml to 579ml, and on postoperative day 8, the second stage operation was performed.During the second stage, the extended right lobe was removed.
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