,Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS)—pushing the env

来源 :肝胆外科与营养 | 被引量 : 0次 | 上传用户:xiaogege0451
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Insufficient future liver remnant (FLR) is an important factor that precludes patient from upfront major liver resection as it predisposes to post-hepatectomy liver failure and mortality. As such, augmentation of FLR by portal vein embolization (PVE) was the conventional approach to improve the safety profile of major hepatectomy. In recent years, associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) has been popularized as an alteative approach for FLR augmentation (1,2). However, the initial inception of the ALPPS procedure was met by criticism for its high incidence of procedure-related morbidity, such as bile leakage and sepsis (3). In light of this issue, an inteational registry was set up for collection of cases and experience around the world and soon after that, the first Inteational Expert Meeting was held in Hamburg in 2015 that led to the publication of eight recommendations on terminology of the procedures, indications and techniques for ALPPS (4). Two years later, a pre-congress meeting was held during the EHPBA (European Hepatopancreatobiliary Association) 12th Annual Congress in Mainz, Germany to celebrate the 10th Anniversary of ALPPS (5) since the first case was performed by Prof. Hans Schlitt a decade ago (1). During this meeting, ten different aspects on ALPPS were covered including surgical anatomy, underlying mechanisms, perioperative assessment of liver function, technical approach, indications and its effectiveness in comparison to two-stage hepatectomy.
其他文献
Background and aims: Biliary thermal injury caused by microwave ablation (MWA) for a hepatocellular carcinoma (HCC) close to the central bile ducts always resul
目的 构建急性心肌梗死患者经皮冠状动脉介入术后延续护理质量指标体系(以下简称延续护理质量指标体系).方法 在广州护理学会心血管病护理专业委员会的支持下,采用文献分析、
目的 构建基于指南的ICU患者肠内营养执行流程的循证实践方案,以保证指南在临床的有效实施,促进ICU患者肠内营养护理执行流程的科学化及规范化.方法 依据Johns Hopkins循证护
Primary liver cancer, of which hepatocellular carcinoma (HCC) represents the vast majority of cases, is the second highest cause of cancer-related death world-w
期刊
报告了1例腹腔多器官簇移植患者术后感染的预防及护理经验.护理要点:减少医源性交叉感染;血流感染、肺部感染及腹腔感染的控制;维持免疫抑制剂的血药浓度.患者术后在ICU经过3
期刊
目的 探讨早期运动规范化流程管理在机械通气患者中的应用效果.方法 成立早期运动多学科团队合作管理小组,制订规范化早期运动方案,组织培训,按流程实施早期运动.结果 早期运
介绍了气道廓清技术的作用原理,概述了国内外气道廓清技术(徒手技术、重力引流技术和呼吸技术)在呼吸道疾病患儿中的应用和对促进呼吸道分泌物排出、改善氧合功能、缩短住院
Whether resection of recurrent colorectal cancer liver metastases (CLMs) can be safely performed after prior hepatectomy, especially after two-stage hepatectomy
期刊
目的 调查山东省危重症专科护士感知的职业生涯成功及其护理工作环境的现状,分析护理工作环境对危重症专科护士职业生涯成功的影响.方法 采用护理工作环境量表和护士职业生涯