中国实用外科杂志

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应用联合肝脏分隔和门静脉结扎的二步肝切除术若干问题思考

李    丹,姜洪池   

  1. 哈尔滨医科大学附属第一医院肝脏外科,黑龙江哈尔滨 150001
  • 出版日期:2018-01-01 发布日期:2018-01-17

  • Online:2018-01-01 Published:2018-01-17

摘要:

在探索如何安全地进行扩大肝切除的历史上,联合肝脏分隔和门静脉结扎的二步肝切除术(ALPPS)的提出是该领域的一个突破性进展。目前,对于ALPPS诱导的残余肝脏(FLR)增生的质量,ALPPS的适应证、安全性、规范的技术操作及其预后均存在较大争议。但ALPPS并非是只为创新而标新立异地孤注一掷,其是为一部分病人的安全有效手术治疗探索一线生机。

关键词: 联合肝脏分隔和门静脉结扎的二步肝切除术, 残余肝脏, 适应证

Abstract:

The pondering on the application of ALPPS        LI Dan,JIANG Hong-chi. Department of Hepatic Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China
Corresponding author:JIANG Hong-chi,E-mail:jianghc@
163.vip.com
Abstract    In the history of exploring safe extended hepatectomies,ALPPS(associating liver partition and portal vein ligation for staged hepatectomy) represents a significant breakthrough in this field. Currently,there are great controversies over the quality of the future liver remnant(FLR),indications,safety,standard techniques and outcomes of ALPPS. Nonetheless,ALPPS is not a gamble for innovation’s sake but creating opportunities to perform operations safely and effectively for some patients.

Key words: associating liver partition and portal vein ligation for staged hepatectomy(ALPPS), future liver remnant(FLR), indication