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Two cases of ALPPS procedure: simultaneous ALPPS and colorectal resection and ALPPS procedure for hepatic malignancy larger than 15 centimeter
Ann Hepatobiliary Pancreat Surg 2017 Aug;21(3):151-6
Published online August 31, 2017
Copyright © 2017 Ann Hepatobiliary Pancreat Surg.

Young Il Choi, Hyung Hwan Moon, and Dong Hoon Shin

Department of Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea
Received July 21, 2017; Revised August 2, 2017; Accepted August 11, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) has recently been introduced as a new surgical technique to increase future liver remnant in patients with marginal liver volume contemplating major liver resection. We herein present two cases. Case 1: a 68-year-old male patient with colorectal liver metastasis was referred to our department. The future liver remnant (FLR) was 22%. We performed first-stage ALPPS and colorectal surgery concurrently and second stage operation was performed 8 days later. The patient discharged 28 days after the first-stage ALPPS procedure. Case 2: a 69-year-old male patient with a huge hepatic mass was referred for hepatic surgery. The FLR was 19%. After the first stage of the ALPPS procedure, acute renal failure and posthepatectomy liver failure occurred. The patient began to recover on the 5th postoperative day. At 10 days after the first stage, the patient completed the second-stage procedure. The patient discharged 23 days after the first-stage ALPPS procedure. So far many studies are currently underway to identify factors associated with the morbidity and mortality of the ALPPS procedure, it is necessary to continue follow-up studies and observe the results. (Ann Hepatobiliary Pancreat Surg 2017;21:151-156)
Keywords : Posthepatectomy liver failure; Future liver remnant; Staged hepatectomy