Nearing the Summit: Associating Liver Partitioning and Portal Ligation for Staged Hepatectomy (ALPPS) in Progressive Car...
Published in Digestive diseases and sciences
Complete or partial split in associating liver partition and portal vein ligation for staged hepatectomy: A systematic r...
Published in World journal of gastroenterology
Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) has been adopted by liver surgeons in recent years. However, high morbidity and mortality rates have limited the promotion of this technique. Some recent studies have suggested that ALPPS with a partial split can effectively induce the growth of future liver remnant...
Selective occlusion of the hepatic artery and portal vein improves liver hypertrophy for staged hepatectomy
Published in World Journal of Surgical Oncology
BackgroundTo evaluate the safety and feasibility of selective occlusion of the hepatic artery and portal vein (SOAP) for staged hepatectomy (SOAPS) in patients with hepatocellular carcinoma (HCC)MethodsFrom December 2014 to August 2018, 9 patients with unresectable HCC were chosen to undergo SOAPS. SOAP without liver partition was performed in the ...
Outcomes of staged hepatectomies for liver malignancy.
Published in World journal of hepatology
Liver malignancies are the fifth most common cause of death worldwide. Surgical intervention with curative intent is the treatment of choice for liver tumors as it provides long-term survival. However, only 20% of patients with metastatic liver lesions can be managed by curative liver resection. In most of the cases, hepatectomy is not feasible bec...
Two cases of ALPPS procedure: simultaneous ALPPS and colorectal resection and ALPPS procedure for hepatic malignancy lar...
Published in Annals of hepato-biliary-pancreatic surgery
Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) has recently been introduced as a new surgical technique to increase future liver remnant in patients with marginal liver volume contemplating major liver resection. We herein present two cases. Case 1: a 68-year-old male patient with colorectal liver metastasis was...
Modified ALPPS procedures: more safety through less invasive surgery
Published in Langenbeck's Archives of Surgery
PurposeAlthough associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) has been advocated for treating advanced liver tumors, increased morbidity and mortality remain serious problems. Many modified procedures have been devised to improve patient safety, but some confusion persists as to benefits and risks.MethodsModifi...
Comparison of the prognostic influence of emergency hepatectomy and staged hepatectomy in patients with ruptured hepatoc...
Though they carry some risk, emergency hepatectomy is still an important means of treatment for spontaneous HCC ruptures. For resectable HCC ruptures, emergency hepatectomy or staged hepatectomy are life-saving procedures, and efficient therapeutic methods. After the initial hemostasis, staged liver resection can often help patients achieve better ...
Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS): short-term outcome, functional chan...
...ALPPS should be used with extreme caution, giving special attention to postoperative complications and grade of functional liver regeneration.
Contemporary Surgical Options for Metastatic Colorectal Cancer
Published in Current Oncology Reports
The diagnosis of stage IV colorectal cancer was once associated with a uniformly grim prognosis. Over the last 20 years, advances in chemotherapeutics, surgical technique, and surgical adjuncts have dramatically broadened treatment options and improved outcomes. Among current treatment options, surgery remains the key component of any multidiscipli...
The ALPPS Approach for the Management of Colorectal Carcinoma Liver Metastases
Published in Current Colorectal Cancer Reports
Liver resection is the treatment of choice for patients with colorectal liver metastases (CRLM). The possibility of achieving curative resection is limited by the future liver remnant (FLR), with posthepatectomy liver failure (PHLF) the most severe possible complication after major liver resection. Associated liver partition and portal vein ligatio...
