Hepatectomía en 2 tiempos con técnica de ALPPS (asociación de bipartición hepática con ligadura portal para hepatectomía en 2 tiempos). Experiencia y resultados iniciales del Hospital Regional de Talca

Autor
Muñoz-Castro, César A.
Sepúlveda D., Guillermo
Tapia V., Álvaro
Vergara A., Gloria
Santelices B., Marcelo
Vega, Rodrigo
Araya M., Hernán
Fecha
2018Resumen
Introduction: Postoperative liver failure (POLF) is a relevant cause of morbimortality after liver surgery. An insufficient future liver remnant (FLR) is one of the main causes of POLF. The association of hepatic bipartition with portal ligation for 2-stage hepatectomy (ALPPS) is a relatively new technique that induces rapid parenchymal hypertrophy reducing the waiting time to achieve adequate FLR. Our aim is to communicate the experience and the initial results of the hepatectomy in 2-stages using the ALLPS technique. Material and Method: All patients in whom a 2-stage hepatectomy using ALPPS technique between June 1, 2014 and July 31, 2016 in the Digestive Surgery Unit of the Hospital Regional of Talca were included. Results: There were 47 hepatectomies performed at the Hospital Regional of Talca. In 3 cases (6.3%), a 2-stage hepatectomy was performed using the ALPPS technique, in all of which a hypertrophy of the future hepatic remnant (RHF) was achieved, which allowed completing the second stage without POLF clinically significant. Conclusion: In our initial experience, the ALPPS technique successfully allowed increase FLR in patients who initially had insufficient FLR to be submitted a major liver resection.
Fuente
Revista Chilena de Cirugía, 70(6), 571-579Link de Acceso
Click aquí para ver el documentoIdentificador DOI
doi.org/10.4067/s0718-40262018000600571Colecciones
La publicación tiene asociados los siguientes ficheros de licencia: