文章摘要

联合肝脏离断和门静脉结扎的二步肝切除术研究进展

作者: 1刘波, 1金成, 1顾元龙
1 南通大学第三附属医院 肝胆胰中心，江苏 无锡 214041
通讯: 顾元龙 Email: alan89515@163.com
DOI: 10.3978/.10.3978/j.issn.1005-6947.2016.01.019
基金: 国家自然科学基金青年科学基金资助项目, 81301805 江苏省无锡市医院管理中心联合 攻关资助项目, YGZX1305 2015 年度无锡市 卫生局重大基金资助项目, Z201503

摘要

联合肝脏离断和门静脉结扎的二步肝切除术（ALPPS）作为一种新的外科手术方法，给因传统手术后剩余肝脏体积不足而不能接受大范围肝切除术的患者带来了希望。该方法一经提出便得到肝外科学家们的青睐，并在应用中不断地提出新的改进方法。早期的研究结果表明ALPPS 的手术病死率和并发症发生率较高，随着技术的发展，已有零病死率报道。但是ALPPS 后的远期治疗效果尚无明确报道。笔者复习相关文献就该技术的应用进行综述。
关键词： 肝切除术/ 方法 肝肿瘤 剩余肝体积

Associating liver partition and portal vein ligation for staged hepatectomy: research progre

Authors: 1LIU Bo, 1JIN Cheng, 1GU Yuanlong
1 Center of Hepatopancreatobiliary Surgery, the Third Affiliated Hospital, Nantong University, Wuxi, Jiangsu 214041, China

CorrespondingAuthor:GU Yuanlong Email: alan89515@163.com

Abstract

Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS), as a new surgical method, brings hope to patients who cannot tolerate extensive liver resection because of the low future liver remnant volume after the conventional resection technique. From the time this method was proposed, it has been favored by surgical scientists, and its improvements are continuously being made during practice. Initial results showed a relatively high incidence of complications and death of ALPPS. Recently, with the development of techniques, zero mortality has been reported. However, the long-term oncological result of ALPPS is still unknown. Here, the authors, based on literature review, address the application of this technique.
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