Updates in Surgery

, Volume 66, Issue 2, pp 159–161 | Cite as

Pearls and pitfalls on ALPPS procedure: new complications in a new technique

  • Benedetto IelpoEmail author
  • Yolanda Quijano
  • Emilio Vicente
Letter to the Editor

The Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) procedure is a new innovative surgical strategy aiming to potentially overcome the liver failure secondary to major liver resection. It represents a modification of the two-stage hepatectomy in which a complete parenchymal transection is associated along with the tumor clearance of one lobe along with the ligation of the contralateral portal vein, too. It allows increase in the future liver remnant (FLR) hypertrophy in a shorter time.

Since the first report of this technique by Baumgart [1] a number of case reports have been published, gaining a wide interest and reactions from all over the world [2].

ALPPS benefits are mostly clear; however, its indications and postoperative morbidity/mortality are still under investigations. It is difficult to draw conclusions about it as only case reports and case series with heterogeneous groups have been reported.

The aim of this letter is to describe the...


Liver resection Liver failure ALPPS Liver malignancies 



The authors thanks Pablo Ruiz, Isabel de Salas and Luka Mihic.

Conflict of interest

No conflict of interest.


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Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  • Benedetto Ielpo
    • 1
    Email author
  • Yolanda Quijano
    • 1
  • Emilio Vicente
    • 1
  1. 1.Sanchinarro University HospitalMadridSpain

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