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联合肝实质离断及门静脉结扎的分期肝切除术研究进展 被引量：7

Research progress on associating liver partition and portal vein ligation for staged hepatectomy
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摘要 联合肝实质离断及门静脉结扎的分期肝切除术（ALPPS）是一种新近出现的分期肝切除策略.该法为剩余肝体积（FLR）不足无法一期根治性肝切除手术的原发或转移性肝胆肿瘤患者带来了治愈希望.本文对ALPPS的演进、适应证选择、手术方式、手术安全性及有效性等进行了综述,比较了ALPPS与选择性门静脉栓塞（PVE）两者的效果,并对肿瘤学进展等争议问题进行了探讨. Associating liver partition and portal vein ligation for staged hepatectomy （ALPPS） is a new surgical management which brings hopes of cure to patients with primary or metastatic liver tumor who do not have sufficient future liver remnant （FLR）.This review summarizes the current research on the development,indication,surgical procedures and safety of ALPPS.It also discusses the major concerns and unanswered doubts of ALPPS,such as the comparison with selective portal vein embolization （PVE） and the long-term oncological progression.
作者 张宁 卢实春 冯玉泉
机构地区 解放军总医院肝胆外科
出处 《中华肝胆外科杂志》 CAS CSCD 北大核心 2015年第6期421-423,共3页 Chinese Journal of Hepatobiliary Surgery
关键词 分期肝切除术 剩余肝体积 门静脉栓塞 肝再生 Staged hepatectomy Future liver remnant Portal vein embolization Liver regeneration
分类号 R735.7 [医药卫生—肿瘤]
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参考文献23

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二级参考文献24

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共引文献36

同被引文献55

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引证文献7

二级引证文献23

中华肝胆外科杂志
2015年 第6期

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