Monosegmental ALPPS after Bilateral Hepatectomy
Journal Title: Annals of Hepatology - Year 2017, Vol 16, Issue 5
Abstract
Associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) has emerged as an alternative for patients with bilobar colorectal liver metastasis and a small future liver remnant (FLR). In cases of extensive disease, ALPPS can be performed, leaving only one segment of the liver as FLR. We describe a case of monosegmental ALPPS using segment 4 as FLR. In conclusion, ALPPS should be reserved for a selected group of patients. Monosegmental ALPPS is feasible, but should be performed by hepatobiliary surgeons in specialized centers.
Authors and Affiliations
Klaus Steinbrück, Marcelo D'Oliveira, Renato Cano
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