Rescue associating liver partition and portal vein ligation for staged hepatectomy after portal embolization: Our experience and literature review

Table 2 Clinical outcomes and complications

Variable	Rescue ALPPS (n = 7)
Surgery
Right trisegmentectomy extended to segment I	4/7
Right lobectomy	1/7
Right lobectomy combined with thermoablation	2/7
Days between ALPPS-1 and ALPPS-2 (range)	7 (7-9)
ALPPS-1
Surgery duration ALPPS-1, min (range)	240 (180-300)
Blood loss during ALPPS-1, mL (range)	750 (300-1000)
Prothrombin ratio day 5, % (range)	76 (70-85)
Bilirubin day 5, µmol/L (range)	24 (15-70)
MELD score day 5 (range)	10 (8-15)
ALPPS-2
Surgery duration ALPPS-2, min (range)	90 (60-120)
Blood loss during ALPPS-2, mL (range)	300 (0-800)
Prothrombin ratio day 5, % (range)	60 (41-73)
Bilirubin day 5, µmol/L (range)	43 (10-182)
MELD score day 5 (range)	14 (9-21)
Complications
Liver failure after ALPPS-1	0/7
Liver failure after ALPPS-2	2/7
Complications after ALPPS-1 and before ALPPS-2	0/7
Complications after ALPPS-2	7/7
Clavien I-II	4/7
Clavien III	1/7
Clavien IV	1/7
Clavien V	1/7
30 d mortality	1/7
90 d mortality	1/7
R0 resection	6/7

ALPPS: Associating liver partition and portal vein ligation for staged hepatectomy; ALPPS-1: First stage ALPPS; ALPPS-2: Second stage ALPPS.