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应用联合肝脏分隔和门静脉结扎的二步肝切除术若干问题思考 被引量:3

The pondering on the application of ALPPS
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摘要 在探索如何安全地进行扩大肝切除的历史上,联合肝脏分隔和门静脉结扎的二步肝切除术(ALPPS)的提出是该领域的一个突破性进展。目前,对于ALPPS诱导的残余肝脏(FLR)增生的质量,ALPPS的适应证、安全性、规范的技术操作及其预后均存在较大争议。但ALPPS并非是只为创新而标新立异地孤注一掷,其是为一部分病人的安全有效手术治疗探索一线生机。 In the history of exploring safe extended hepatectomies,ALPPS(associating liver partition and portal vein ligation for staged hepatectomy) represents a significant breakthrough in this field. Currently,there are great controversies over the quality of the future liver remnant(FLR),indications,safety,standard techniques and outcomes of ALPPS. Nonetheless,ALPPS is not a gamble for innovation’s sake but creating opportunities to perform operations safely and effectively for some patients.
作者 李丹 姜洪池
出处 《中国实用外科杂志》 CSCD 北大核心 2018年第1期37-40,共4页 Chinese Journal of Practical Surgery
关键词 联合肝脏分隔和门静脉结扎的二步肝切除术 残余肝脏 适应证 associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) future liver remnant (FLR) indication
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