Laparoscopic two-stage-hepatectomy: Laparoscopic colectomy with intraoperative portal-vein phenolization on patients with predicted insufficient liver remnant. Strategy safer than ALPPS and cheaper than portal vein embolization
نویسندگان
چکیده
منابع مشابه
Laparoscopic Liver Partition and Portal Vein Ligation for Staged Hepatectomy
Introduction: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) has recently been introduced as a feasible strategy that allows complete resection with curative intention in selected patients with otherwise locally unresectable disease due to an insufficient future liver remnant. Minimally invasive surgery has shown several benefits over the open approach in di...
متن کاملPortal vein embolization induces more liver regeneration than portal vein ligation in a standardized rabbit model.
BACKGROUND Portal vein ligation (PVL) and portal vein embolization (PVE) are used to induce hypertrophy of the future remnant liver before major liver resection. The aim of our study was to compare the hypertrophy response of the liver after PVL versus PVE in a rabbit model. METHODS Twenty rabbits were divided into an embolization group (n = 10) and a ligation group (n = 10). Both groups were...
متن کاملPortal vein thrombosis after laparoscopic total colectomy for colonic inertia
Portal vein thrombosis (PVT) has been recently documented after a variety of laparoscopic surgeries. Although it is well established in splenectomies, its prevalence in other laparoscopic procedures is rare. PVT in colectomies has been associated with inflammatory processes, such as ulcerative colitis and diverticulitis. We report a case of postoperative PVT following a total abdominal colectom...
متن کاملMeta-analysis of associating liver partition with portal vein ligation and portal vein occlusion for two-stage hepatectomy.
BACKGROUND Discussion is ongoing regarding whether associating liver partition with portal vein ligation for staged hepatectomy (ALPPS) or portal vein occlusion is better in staged hepatectomy. The aim of this study was to compare available strategies using a two-stage approach in extended hepatectomy. METHODS A literature search was performed in MEDLINE, Scopus, the Cochrane Library and Emba...
متن کاملA totally laparoscopic associating liver partition and portal vein ligation for staged hepatectomy assisted with radiofrequency (radiofrequency assisted liver partition with portal vein ligation) for staged liver resection.
In order to induce liver hypertrophy to enable liver resection in patients with a small future liver remnant (FLR), various methods have been proposed in addition to portal vein embolisation (PVE). Most recently, the associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) technique has gained significant international interest. This technique is limited by the high m...
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ژورنال
عنوان ژورنال: HPB
سال: 2016
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2016.02.287