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Journal of Research in Medical Sciences، جلد ۲۲، شماره ۱، صفحات ۰-۰
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عنوان انگلیسی Associating liver partition and portal vein ligation for staged hepatectomy: A surgical technique for liver resections
چکیده انگلیسی مقاله Background: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a novel surgical technique liver resection in traditionally nonresectable primary intrahepatic tumors or colorectal liver metastases. Materials and Methods: From June 2013 to March 2014, patients with primary tumor of liver or colorectal liver tumors with liver metastasis were selected to evaluate whether they met the initial criteria for ALPPS procedure. Results: Nine patients enrolled in the study with primary diagnosis of colon and sigmoid cancer, bronchial carcinoid tumor, gastrointestinal stromal tumor of small intestine, two cases of hepatocellular carcinoma, pancreatic neuroendocrine tumor (PNET), adenocarcinoma of colon, PNET with unknown origin, and rectosigmoid tumor.Four candidates did not proceed to the second operation because of fatty liver, hepatic fibrosis, peritoneal seeding, and multiple small intestine metastases. Five patients underwent two stages of ALPPS with the interval of about 1 week. Liver hypertrophy was 100% among our candidates after the initial step. One postoperative death happened because of massive pulmonary thromboembolism and recurrence of liver metastasis was seen in one patient. Hepatic failure Class B and A was observed in two patients which did not progress during follow-up period. One patient developed an enterocutaneous fistula. Conclusion: As the procedure has not been well established and verified by oncologists yet, further studies are required to define the exact indications of ALPPS.
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نویسندگان مقاله بهنام صانعی | behnam saneie


صبا شیخ بهایی | saba sheikh bahaei


محمد حسین صانعی | mohamad hosein saneie


امین بحرینی | amin bahreini


حمیدرضا جعفری | hamid reza jafari


نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/10636
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/218/article-218-325116.pdf
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زبان مقاله منتشر شده en
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