A New Surgical Technique for Extended Right Hepatectomy: Tourniquet in the Umbilical Fissure and Right Portal Vein Occlusion (ALTPS). Clinical Case

Campos, Ricardo Robles; Paricio, Pascual Parrilla; Conesa, Asunción López; Brusadín, Roberto; López, Víctor; Griñó, P; Quiñonero, Matilde Fuster; López, José Antonio García; Moral, Jesús de la Peña

doi:10.1016/j.cireng.2014.01.025

Cited by 10 publications

(3 citation statements)

References 24 publications

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“…This is confirmed with intraoperative ultrasound (IOUS). The authors reported hypertrophy of the FLR of 150% in this case report [59].…”

Section: Liver Tourniquetmentioning

confidence: 92%

“…In 2013, Pena Moral et al described another modification, the use of a liver tourniquet in place of ISS, termed ALTPS (Associating Liver Tourniquet and Portal Ligation for Staged Hepatectomy) [59]. The proposed benefit is decreased technical complexity and shorter operating times for the first stage of surgery, therefore potentially decreasing morbidity.…”

Section: Liver Tourniquetmentioning

confidence: 97%

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ALPPS: Challenging the concept of unresectability – A systematic review

Bertens

Hawel

Lung

et al. 2015

International Journal of Surgery

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“…This is confirmed with intraoperative ultrasound (IOUS). The authors reported hypertrophy of the FLR of 150% in this case report [59].…”

Section: Liver Tourniquetmentioning

confidence: 92%

Section: Liver Tourniquetmentioning

confidence: 97%

ALPPS: Challenging the concept of unresectability – A systematic review

Bertens

Hawel

Lung

et al. 2015

International Journal of Surgery

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“…Considering that bile leakage might be caused by ISS, Robles Campos et al. modified this procedure using a round liver ligation to replace ISS and thus avoid severe bile leakage ( 17 ). Gringeri et al.…”

Section: Discussionmentioning

confidence: 99%

Study of ultrasound-guided percutaneous microwave ablation combined with portal vein embolization for rapid future liver remnant increase of planned hepatectomy

Zeng²,

Zhang³

et al. 2023

Front. Oncol.

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PurposeTo evaluate the efficacy of ultrasound-guided percutaneous microwave ablation (PMA) combined with portal vein embolization (PVE) for planned hepatectomy.MethodsWe retrospectively reviewed data of 18 patients with multiple right liver tumors or hilar tumor of liver invades the surrounding tissue and insufficient future liver remnant (FLR) for hepatectomy from July 2015 to March 2017. Ultrasound-guided PMA was performed by using PMCT cold circulation microwave treatment apparatus. PVE was performed after PMA. The increase of FLR was evaluated by computed tomography (CT) 6-22 days after PVE. The proportion of FLR, increase in the amplitude of FLR, procedure-related complications, perioperative morbidity and mortality, and overall survival (OS) rates, the median survival time were analyzed.ResultsThe median volume of FLR before PMA and PVE was 369.7 ml (range: 239.4-493.1 ml). After a median waiting period of 11.5 days (range: 6-22 days), the median volume of FLR was increased to 523.4 ml (range: 355.4-833.3 ml). The changes in FLR before and after PMA and PVE were statistically significant (p<0.001). No serious perioperative complications or mortality were found. After a median follow-up time of 51.0 months (range: 2-54 months), the 6-month, 1-year, 2-year, 3-year and 4-year survival rates were 88.9%, 72.2%, 44.4%, 33.3%, 22.2%, respectively, and the median survival time was 15.0 ± 7.1 months.ConclusionPMA combined with PVE increases FLR rapidly, avoids touching malignant tumors, and produces fewer procedure-related complications. It appears safe and efficacious for planned hepatectomy.

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Modified ALPPS procedures: more safety through less invasive surgery

Tanaka

2017

Langenbecks Arch Surg

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A New Surgical Technique for Extended Right Hepatectomy: Tourniquet in the Umbilical Fissure and Right Portal Vein Occlusion (ALTPS). Clinical Case

Cited by 10 publications

References 24 publications

ALPPS: Challenging the concept of unresectability – A systematic review

ALPPS: Challenging the concept of unresectability – A systematic review

Study of ultrasound-guided percutaneous microwave ablation combined with portal vein embolization for rapid future liver remnant increase of planned hepatectomy

Modified ALPPS procedures: more safety through less invasive surgery

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