Choi Young Il, Moon Hyung Hwan, Shin Dong Hoon
Department of Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
Ann Hepatobiliary Pancreat Surg. 2017 Aug;21(3):151-156. doi: 10.14701/ahbps.2017.21.3.151. Epub 2017 Aug 31.
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 referred to our department. The future liver remnant (FLR) was 22%. We performed first-stage ALPPS and colorectal surgery concurrently and second stage operation was performed 8 days later. The patient discharged 28 days after the first-stage ALPPS procedure. Case 2: a 69-year-old male patient with a huge hepatic mass was referred for hepatic surgery. The FLR was 19%. After the first stage of the ALPPS procedure, acute renal failure and posthepatectomy liver failure occurred. The patient began to recover on the 5th postoperative day. At 10 days after the first stage, the patient completed the second-stage procedure. The patient discharged 23 days after the first-stage ALPPS procedure. So far many studies are currently underway to identify factors associated with the morbidity and mortality of the ALPPS procedure, it is necessary to continue follow-up studies and observe the results.
联合肝脏分隔和门静脉结扎分期肝切除术（ALPPS）最近作为一种新的外科技术被引入，用于增加考虑进行大肝切除的肝体积边缘患者的未来肝残余量。我们在此介绍两例病例。病例1：一名68岁的男性结肠直肠癌肝转移患者转诊至我科。未来肝残余量（FLR）为22%。我们同时进行了第一阶段的ALPPS和结肠直肠手术，并在8天后进行了第二阶段手术。患者在第一阶段ALPPS手术后28天出院。病例2：一名69岁的男性巨大肝肿块患者转诊进行肝脏手术。FLR为19%。在第一阶段的ALPPS手术后，发生了急性肾衰竭和肝切除术后肝衰竭。患者在术后第5天开始恢复。在第一阶段后的第10天，患者完成了第二阶段手术。患者在第一阶段ALPPS手术后23天出院。目前有许多研究正在进行，以确定与ALPPS手术的发病率和死亡率相关的因素，有必要继续进行随访研究并观察结果。
