Little girl who conquered the "ALPPS''

作     者：Albert Chan Patrick HY Chung Ronnie TP Poon 

作者机构：Division of Hepatobiliary and Pancreatic Surgery and Liver Transplantation Department of SurgeryQueen Mary HospitalThe University of Hong Kong Division of Pediatric SurgeryDepartment of SurgeryQueen Mary Hospitalthe University of Hong Kong 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2014年第20卷第29期

页      面：10208-10211页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Associating liver partition and portal vein ligation for stage hepatectomy Hepatectomy Portal vein Hepatoblastoma In-situ split 

摘      要：An insufficient future liver remnant(FLR)is associated with post-hepatectomy liver *** liver partition and portal vein ligation for stage hepatectomy(ALPPS)has been shown to be effective for the induction of rapid FLR hypertrophy so as to improve the resectability in patients with insufficient *** hereby report our experience of this novel approach for a 6-year-old patient with *** tomography showed a hepatoblastoma measuring12.5 cm×9.9 cm×11.7 cm in the right liver(Couinaud segmentⅣ,ⅤandⅧ).Volumetric assessment of the FLR i.e.,left lateral section was 112.6 mL i.e.,21.2%of the estimated total liver *** view of the small-for-size FLR,ALPPS was *** anterior approach was adopted for the in-situ parenchymal split without mobilisation of the right *** volumetry on the seventh postoperative day was 160.7 mL,which represented a 46.1%gain in volume,and a FLR/ESLV ratio of 30.2%.A right trisectionectomy was performed on the eighth postoperative *** recovery was *** was discharged on day 16 after the first *** our knowledge,this was the first report that showed the applicability of ALPPS to a paediatric patient.