Salvage in situ liver transection (ISLT) for patients with unresectable liver tumors and insufficient volume increase of the future liver remnant after portal vein embolization
SA Topp, L Zacarias-Föhrding, I Gabor, A Rehders, A Alexander, J Schulte am Esch, G Fürst, WT Knoefel · Zeitschrift für Gastroenterologie · 2015 · Heft 12
Bibliografische Angaben
Zusammenfassung
Introduction: In about one third of patients, portal vein embolization (PVE) fails to increase the future liver remnant (FLR) prior to extended hepatectomy, leaving these patients non-resectable. The newly established in situ liver transection (ISLT or ALPPS) procedure for extended hepatectomy, that combines portal vein ligation and parenchymal transection prior to second stage resection, proved to induce rapid volume increase of the FLR. The feasibility of ISLT as salvage procedure after failed PVE has been explored. Patients & Methods: 17 ISLT procedures in non-cirrhotic livers were performed and analyzed, inc…
