关键词: 联合肝脏分隔和门静脉结扎的二步肝切除术, 微创手术, 经皮消融

Abstract:

Surgical Modifications on the Conventional ALPPS                    LAU Wan Yee，LAU Stephanie H.Y. Faculty of Medicine, the Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Corresponding author: Lau W.Y， E-mail: josephlau@cuhk.edu.hk
Abstract    Since the introduction of ALPPS, this operation has created a lot of controversies in the international surgical scene. Some surgeons have rapidly adopted this procedure as within a short time, ALPPS can convert a locally unresectable and non-curable liver cancer to become resectable and curable. Others objected this procedure because it has high morbidity and mortality rates.To improve on the indications of ALPPS, and at the same time, to reduce the operative morbidity and mortality rates, surgeons around the world started to make minor and major modifications of ALPPS. Up to now, when the future liver remnant is inadequate, there are only two ways to induce the future liver remnant to hypertrophy to an adequate size to allow resectional surgery:- ALPPS and the traditional two-stage operation (stage one portal vein embolization or ligation, stage 2 partial hepatectomy). These two operations have their own merits and demerits and the authors tried to compare these procedures based on previously reported data and evidences.

Key words: associating liver partition and portal vein ligation for staged hepatectomy（ALPPS）, minimally invasive surgery, percutaneous thermal ablation