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