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腹腔镜下ALPPS右半肝切除一例(附视频)

Laparoscopic ALPPS of right lobe:report of one case(video attached)
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摘要 ALPPS是2007年由Baumgar教授首次提出,其最初是为了防止术后残肝体积不足而采取的一种方法,主要适用于一侧肿瘤需要行右三叶切除或两侧肝脏多发肿瘤而残肝体积不足的患者[1,2]。ALPPS的出现也不是一蹴而就的,而是外科医师在一步步实践中逐步发展形成,其实质就是传统的二步肝切除方法(two-stage hepatectomy)[3]。我国是肝细胞癌(肝癌)大国,每年约有30万人因肝癌死亡[4]。由于肝癌发病的隐匿性,许多初诊患者已丧失手术机会,ALPPS对于此类残肝体积不足的患者提供了一种新的手术方式,让患者获得治疗的机会。重庆医科大学附属第二医院于2022年5月行腹腔镜下ALPPS成功治疗1例肝癌合并肝右静脉受侵的患者,术后恢复良好,现报道如下。
作者 郭佳胤 徐杰 刘作金 Guo Jiayin;Xu Jie;Liu Zuojin
出处 《中华肝脏外科手术学电子杂志》 CAS 2023年第3期345-347,共3页 Chinese Journal of Hepatic Surgery(Electronic Edition)
关键词 肝细胞 腹腔镜 肝切除术 联合肝脏离断和门静脉结扎的分阶段肝切除术 加速康复外科 Carcinoma,hepatocellular Laparoscopes Hepatectomy Associatingliver partition and portal vein ligation for staged hepatectomy(ALPPS) Enhanced recovery after surgery
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