Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) – two years follow up single center experience

Abstract

Right portal vein ligation. Liver partition respecting right hepatic artery and bile duct. -Volumetry of the future remnant liver on the sixth day (546 cc).-Second time: Right hepatectomy: liver partition is complete. Liver remnant: Segment IV. It did not require transfusions, ICU stay 48 hours. Result: Mild jaundice and postoperative ascites, which were self limited.Discharge on the seventh day.On first month control: tomographic, clinical and laboratory markers were normal, good hepatic function and absence of liver nodules.Capecitabine adjuvant therapy is currently on course.The quality of life of the patients is good. Conclusion: In selected cases ALPPS is valid approch to achieve resectability of patients initially unresectable. In a short period time (7/10 days) this technique enables to accomplish R0 resection. Well then adyuvant therapy can be started.