Dong Kuiran.Application of associated liver partition and portal vein ligation for staged hepatectomy in the treatment of liver tumors in children[J].Journal of Clinical Pediatric Surgery,,19():382-385.[doi:10.3969/j.issn.1671-6353.2020.05.002]
Application of associated liver partition and portal vein ligation for staged hepatectomy in the treatment of liver tumors in children
- Keywords:
- Liver Neoplasms/SU; Portal Vein/SU; Liver Transplantation; Hepatectomy; Postoperative Complications; Child
- CLC:
- R729;R735.7
- Abstract:
- Associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) has the characteristics of rapid increase in volume of liver remnant in a short period of time.It has been popularized in adult liver tumor surgery for the prediction of insufficient future liver remnant (FLR).Children’s liver tumors are often relatively large,especially hepatoblastoma,which can invade multiple liver segments,or occupy the central anatomical site of the liver.Radical hepatectomy will be resulted in insufficient FLR in these cases, which may need the procedure of ALPPS.At present,the application of ALPPS in childhood liver tumors is still in developmental phase.In general,if one’s FLR is below 30% can be considered for ALPPS.So preoperative evaluation of the child’s liver volume,liver function,and tumor respectability should be performed accurately.The interval between two operation stages is 7 to 14 days.Surgical complications mainly include insufficient liver function,bleeding and bile leakage.The evaluation of the clinical efficacy of this procedure in children liver tumors needs to be further summarized.
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Memo
收稿日期:2020-03-07。
基金项目:国家自然科学基金项目（编号：81572324）
作者简介:董岿然,Email:kuirand@hotmail.com