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Variations and adaptations of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS): Many routes to the summit

Standard

Variations and adaptations of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS): Many routes to the summit. / Edmondson, Matthew J; Sodergren, Mikael H; Pucher, Philip H; Darzi, Ara; Li, Jun; Petrowsky, Henrik; Campos, Ricardo Robles; Serrablo, Alejandro; Jiao, Long R.

in: SURGERY, Jahrgang 159, Nr. 4, 04.2016, S. 1058-72.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Edmondson, MJ, Sodergren, MH, Pucher, PH, Darzi, A, Li, J, Petrowsky, H, Campos, RR, Serrablo, A & Jiao, LR 2016, 'Variations and adaptations of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS): Many routes to the summit', SURGERY, Jg. 159, Nr. 4, S. 1058-72. https://doi.org/10.1016/j.surg.2015.11.013

APA

Edmondson, M. J., Sodergren, M. H., Pucher, P. H., Darzi, A., Li, J., Petrowsky, H., Campos, R. R., Serrablo, A., & Jiao, L. R. (2016). Variations and adaptations of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS): Many routes to the summit. SURGERY, 159(4), 1058-72. https://doi.org/10.1016/j.surg.2015.11.013

Vancouver

Edmondson MJ, Sodergren MH, Pucher PH, Darzi A, Li J, Petrowsky H et al. Variations and adaptations of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS): Many routes to the summit. SURGERY. 2016 Apr;159(4):1058-72. https://doi.org/10.1016/j.surg.2015.11.013

Bibtex

@article{6f8a1a724d834899b7f168772b4aee13,
title = "Variations and adaptations of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS): Many routes to the summit",
abstract = "BACKGROUND: Our aim was to review variations from the originally described associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure and relevant clinical outcomes.METHODS: A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (ie, PRISMA) guidelines. A search of PubMed and Google Scholar was conducted until March 2015. Inclusion criteria were any publications reporting technical variations and descriptions of ALPPS. Exclusion criteria were insufficient technical description, data repeated elsewhere, or data that could not be accessed in English.RESULTS: Initial search results returned 790 results; 46 studies were included in the final qualitative analysis. There were several alternatives described to the first stage of complete parenchymal split. Variations included partial ALPPS (partial split; hypertrophy of future liver remnant [FLR] 80-90%), radiofrequency-assisted liver partition and portal vein ligation (mean FLR hypertrophy 62%), laparoscopic microwave ablation and portal vein ligation (FLR hypertrophy 78-90%), associating liver tourniquet and portal ligation for staged hepatectomy (median FLR hypertrophy 61%), and sequential associating liver tourniquet and portal ligation for staged hepatectomy (FLR hypertrophy 77%) with a potential decrease in morbidity particularly after stage I. We analyzed several other variations, including considerations for segment IV, operative maneuvers, use of laparoscopy, identification of biliary complications, and liver containment.CONCLUSION: The current literature demonstrates a large variability in techniques of ALPPS that limits meaningful statistical comparisons of outcomes. Not physically splitting the liver at the first stage may decrease morbidity; however, randomized controlled trials are needed to determine benefits in technical variations.",
keywords = "Hepatectomy, Humans, Laparoscopy, Ligation, Liver Regeneration, Outcome Assessment (Health Care), Portal Vein, Journal Article, Review",
author = "Edmondson, {Matthew J} and Sodergren, {Mikael H} and Pucher, {Philip H} and Ara Darzi and Jun Li and Henrik Petrowsky and Campos, {Ricardo Robles} and Alejandro Serrablo and Jiao, {Long R}",
note = "Copyright {\textcopyright} 2016 Elsevier Inc. All rights reserved.",
year = "2016",
month = apr,
doi = "10.1016/j.surg.2015.11.013",
language = "English",
volume = "159",
pages = "1058--72",
journal = "SURGERY",
issn = "0039-6060",
publisher = "Mosby Inc.",
number = "4",

}

RIS

TY - JOUR

T1 - Variations and adaptations of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS): Many routes to the summit

AU - Edmondson, Matthew J

AU - Sodergren, Mikael H

AU - Pucher, Philip H

AU - Darzi, Ara

AU - Li, Jun

AU - Petrowsky, Henrik

AU - Campos, Ricardo Robles

AU - Serrablo, Alejandro

AU - Jiao, Long R

N1 - Copyright © 2016 Elsevier Inc. All rights reserved.

PY - 2016/4

Y1 - 2016/4

N2 - BACKGROUND: Our aim was to review variations from the originally described associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure and relevant clinical outcomes.METHODS: A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (ie, PRISMA) guidelines. A search of PubMed and Google Scholar was conducted until March 2015. Inclusion criteria were any publications reporting technical variations and descriptions of ALPPS. Exclusion criteria were insufficient technical description, data repeated elsewhere, or data that could not be accessed in English.RESULTS: Initial search results returned 790 results; 46 studies were included in the final qualitative analysis. There were several alternatives described to the first stage of complete parenchymal split. Variations included partial ALPPS (partial split; hypertrophy of future liver remnant [FLR] 80-90%), radiofrequency-assisted liver partition and portal vein ligation (mean FLR hypertrophy 62%), laparoscopic microwave ablation and portal vein ligation (FLR hypertrophy 78-90%), associating liver tourniquet and portal ligation for staged hepatectomy (median FLR hypertrophy 61%), and sequential associating liver tourniquet and portal ligation for staged hepatectomy (FLR hypertrophy 77%) with a potential decrease in morbidity particularly after stage I. We analyzed several other variations, including considerations for segment IV, operative maneuvers, use of laparoscopy, identification of biliary complications, and liver containment.CONCLUSION: The current literature demonstrates a large variability in techniques of ALPPS that limits meaningful statistical comparisons of outcomes. Not physically splitting the liver at the first stage may decrease morbidity; however, randomized controlled trials are needed to determine benefits in technical variations.

AB - BACKGROUND: Our aim was to review variations from the originally described associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure and relevant clinical outcomes.METHODS: A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (ie, PRISMA) guidelines. A search of PubMed and Google Scholar was conducted until March 2015. Inclusion criteria were any publications reporting technical variations and descriptions of ALPPS. Exclusion criteria were insufficient technical description, data repeated elsewhere, or data that could not be accessed in English.RESULTS: Initial search results returned 790 results; 46 studies were included in the final qualitative analysis. There were several alternatives described to the first stage of complete parenchymal split. Variations included partial ALPPS (partial split; hypertrophy of future liver remnant [FLR] 80-90%), radiofrequency-assisted liver partition and portal vein ligation (mean FLR hypertrophy 62%), laparoscopic microwave ablation and portal vein ligation (FLR hypertrophy 78-90%), associating liver tourniquet and portal ligation for staged hepatectomy (median FLR hypertrophy 61%), and sequential associating liver tourniquet and portal ligation for staged hepatectomy (FLR hypertrophy 77%) with a potential decrease in morbidity particularly after stage I. We analyzed several other variations, including considerations for segment IV, operative maneuvers, use of laparoscopy, identification of biliary complications, and liver containment.CONCLUSION: The current literature demonstrates a large variability in techniques of ALPPS that limits meaningful statistical comparisons of outcomes. Not physically splitting the liver at the first stage may decrease morbidity; however, randomized controlled trials are needed to determine benefits in technical variations.

KW - Hepatectomy

KW - Humans

KW - Laparoscopy

KW - Ligation

KW - Liver Regeneration

KW - Outcome Assessment (Health Care)

KW - Portal Vein

KW - Journal Article

KW - Review

U2 - 10.1016/j.surg.2015.11.013

DO - 10.1016/j.surg.2015.11.013

M3 - SCORING: Journal article

C2 - 26747229

VL - 159

SP - 1058

EP - 1072

JO - SURGERY

JF - SURGERY

SN - 0039-6060

IS - 4

ER -