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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Oncol. Aug 10, 2017; 8(4): 351-359
Published online Aug 10, 2017. doi: 10.5306/wjco.v8.i4.351
Published online Aug 10, 2017. doi: 10.5306/wjco.v8.i4.351
Rescue associating liver partition and portal vein ligation for staged hepatectomy after portal embolization: Our experience and literature review
Charlotte Maulat, Antoine Philis, Bérénice Charriere, Bertrand Suc, Fabrice Muscari, Department of Visceral Surgery, Toulouse-Rangueil University Hospital, 31059 Toulouse Cedex 9, France
Fatima-Zohra Mokrane, Philippe Otal, Department of Radiology, Toulouse-Rangueil University Hospital, 31059 Toulouse Cedex 9, France
Rosine Guimbaud, Department of Digestive Oncology, Toulouse-Rangueil University Hospital, 31059 Toulouse Cedex 9, France
Author contributions: Maulat C, Philis A, Charriere B and Muscari F performed research and wrote the paper; Mokrane FZ, Guimbaud R, Otal P and Suc B provided critical revision of the manuscript for important intellectual content.
Institutional review board statement: This study was reviewed and approved by the Toulouse University Hospital Review Board.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
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: Dr. Fabrice Muscari, Professor, Department of Visceral Surgery, Toulouse-Rangueil University Hospital, 1 Avenue du Pr Jean Poulhès, 31059 Toulouse Cedex 9, France. muscari.f@chu-toulouse.fr
Telephone: +33-56-1322088 Fax: +33-56-1322936
Received: January 26, 2017
Peer-review started: February 8, 2017
First decision: May 10, 2017
Revised: June 5, 2017
Accepted: July 7, 2017
Article in press: July 10, 2017
Published online: August 10, 2017
Peer-review started: February 8, 2017
First decision: May 10, 2017
Revised: June 5, 2017
Accepted: July 7, 2017
Article in press: July 10, 2017
Published online: August 10, 2017
Core Tip
Core tip: Hepatic surgery appears as the best curative option for patients with primary or secondary malignant hepatic tumors. Several strategies have been developed to avoid postoperative liver failure, such as portal vein embolization (PVE). In 2012, associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) was developed. It induces rapid and extensive hypertrophy of the future liver remnant, but with high morbidity and mortality. Therefore, some authors have suggested that ALPPS should be performed only as a “rescue”, after failed PVE. We describe our results of rescue ALPPS after failure of previous PVE and we perform a literature review.