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

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