Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure for hepatocellular carcinoma with chronic liver disease : a case report and review of literature :a case report and review of literature

Michail Papamichail; Michail Pizanias; Vincent Yip; Evangellos Prassas; Andreas Prachalias; Alberto Quaglia; Praveen Peddu; Nigel Heaton; Parthi Srinivasan

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저자정보: Michail Papamichail (NHS Foundation Trust) Michail Pizanias (NHS Foundation Trust) Vincent Yip (NHS Foundation Trust) Evangellos Prassas (NHS Foundation Trust) Andreas Prachalias (NHS Foundation Trust) Alberto Quaglia (NHS Foundation Trust) Praveen Peddu (NHS Foundation Trust) Nigel Heaton (NHS Foundation Trust) Parthi Srinivasan (NHS Foundation Trust)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제20권 제2호

발행연도: 2016.5

수록면: 75 - 80 (6page)

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The incidence of complications after liver resection is closely related to functional future liver remnant (FLR). The standard approach to augment FLR is surgical or radiological occlusion of the artery or portal vein on the tumor side. Associated liver partition and portal vein ligation for staged hepatectomy (ALLPS) has been introduced as an alternative method to augment FLR. It offers rapid and effective hypertrophy for resecting liver metastases. However, data regarding its application in patients with hepatocellular carcinoma (HCC) with a background of chronic liver disease are limited. Here we describe the use of ALPPS procedure to manage a large solitary HCC with a background of chronic liver disease. The rising incidence of HCC has increased the number of surgical resections in patients with advanced stage liver disease not considered for liver transplantation. We reviewed reported experience of ALPPS in established chronic liver disease and current therapeutic modalities for HCC on a background of chronic liver disease in patients with potential liver insufficiency where tumor burden is beyond liver transplant criteria.

#ALPPS #Liver cirrhosis

참고문헌 (21)

참고문헌 신청

Ielpo B, Caruso R, Ferri V, Quijano Y, Duran H, Diaz E, et al. ALPPS procedure: our experience and state of the art. Hepatogastroenterology 2013;60:2069-2075.

Aoki T, Imamura H, Hasegawa K, Matsukura A, Sano K, Sugawara Y, et al. Sequential preoperative arterial and portal venous embolizations in patients with hepatocellular carcinoma. Arch Surg 2004;139:766-774.

Ogata S, Belghiti J, Farges O, Varma D, Sibert A, Vilgrain V. Sequential arterial and portal vein embolizations before right hepatectomy in patients with cirrhosis and hepatocellular carcinoma. Br J Surg 2006;93:1091-1098.

Seo DD, Lee HC, Jang MK, Min HJ, Kim KM, Lim YS, et al. Preoperative portal vein embolization and surgical resection in patients with hepatocellular carcinoma and small future liver remnant volume: comparison with transarterial chemoembolization. Ann Surg Oncol 2007;14:3501-3509.

De Carlis L, Belli LS, Romani F, Aseni P, Baticci F, Sansalone CV, et al. Selection criteria for liver transplantation: preliminary experience of Niguarda Hospital, Milan. Transplant Proc 1989; 21:2415-2416.

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