Zerial M, Lorenzin D, Risaliti A, Zuiani C, Girometti R. Abdominal cross-sectional imaging of the associating liver partition and portal vein ligation for staged hepatectomy procedure. World J Hepatol 2017; 9(16): 733-745 [PMID: 28652892 DOI: 10.4254/wjh.v9.i16.733]
Corresponding Author of This Article
Rossano Girometti, MD, Institute of Diagnostic Radiology, Department of Medicine, University of Udine, University Hospital “S. Maria della Misericordia”, p.le S. Maria della Misericordia, 15, 33100 Udine, Italy. rgirometti@sirm.org
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Hepatol. Jun 8, 2017; 9(16): 733-745 Published online Jun 8, 2017. doi: 10.4254/wjh.v9.i16.733
Abdominal cross-sectional imaging of the associating liver partition and portal vein ligation for staged hepatectomy procedure
Michele Zerial, Dario Lorenzin, Andrea Risaliti, Chiara Zuiani, Rossano Girometti
Michele Zerial, Chiara Zuiani, Rossano Girometti, Institute of Diagnostic Radiology, Department of Medicine, University of Udine, University Hospital “S. Maria della Misericordia”, 33100 Udine, Italy
Dario Lorenzin, Andrea Risaliti, Clinical Surgery, Department of Medicine, University of Udine, University Hospital “S. Maria della Misericordia”, 33100 Udine, Italy
Author contributions: Girometti R and Lorenzin D projected the paper; Zerial M, Girometti R and Zuiani C planned the review structure; Lorenzin D and Risaliti A performed surgeries and collected surgical images; Zerial M reviewed radiological literature; Lorenzin D and Risaliti A reviewed surgical literature; Zerial M, Zuiani C and Girometti R reviewed radiological images and selected them; Zerial M wrote the paper; Zuiani C and Girometti R prepared the tables; Zerial M and Lorenzin M prepared the figures; Girometti R, Lorenzin D, Zuiani C and Risaliti A reviewed the paper for structure and content; Girometti R supervised the work.
Conflict-of-interest statement: None of the authors has conflicts of interest to disclose. This paper has been presented as an electronic poster at the European Congress of Radiology (ECR) 2016 and European Society of Gastrointestinal and Abdominal Radiology (ESGAR) annual meeting 2016.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Rossano Girometti, MD, Institute of Diagnostic Radiology, Department of Medicine, University of Udine, University Hospital “S. Maria della Misericordia”, p.le S. Maria della Misericordia, 15, 33100 Udine, Italy. rgirometti@sirm.org
Telephone: +39-0432-559266 Fax: +39-0432-559867
Received: January 27, 2017 Peer-review started: February 12, 2017 First decision: March 10, 2017 Revised: March 22, 2017 Accepted: April 6, 2017 Article in press: April 10, 2017 Published online: June 8, 2017 Processing time: 129 Days and 2.3 Hours
Abstract
Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a recently introduced technique aimed to perform two-stage hepatectomy in patients with a variety of primary or secondary neoplastic lesions. ALPSS is based on a preliminary liver resection associated with ligation of the portal branch directed to the diseased hemiliver (DH), followed by hepatectomy after an interval of time in which the future liver remnant (FLR) hypertrophied adequately (partly because of preserved arterialization of the DH). Multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) play a pivotal role in patients’ selection and FLR assessment before and after the procedure, as well as in monitoring early and late complications, as we aim to review in this paper. Moreover, we illustrate main abdominal MDCT and MRI findings related to ALPPS.
Core tip: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a variant of two-stage hepatectomy aimed to obtain rapid hypertrophy of the future liver remnant. Given its recent introduction, there are still controversies on indications and safety issues. Cross-sectional imaging by means of multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) play a key role in the multidisciplinary process of patients’ selection and postoperative management. This review aims to emphasize such a role and illustrate main abdominal ALPPS-related findings on MDCT or MRI.
