摘要
Associated liver partition and portal vein ligation for staged hepatectomy(ALPPS)is an established resection strategy well into its teenage years.After initial controversy,it has proven to be an effective and safe approach for primary unresectable liver remnant anatomy in high volume centers(1-5).ALPPS involves portal vein ligation and parenchymal split to obtain rapid,enhanced hypertrophy of the future liver remnant and resection during second stage of the operation(6).This allows for resection with liver remnants as small as 20%of original volume(7,8).It is the most rapid tool in achieving hypertrophy compared to other modalities(9-11).Nevertheless,ALPPS remains a contentious topic in the HPB literature(12-15).We believe that ALPPS is an excellent option for highly selected patients with expanded indications,especially when conducted by experienced surgical teams(5,16).
