title: [ALPPS (Associated Liver Partition and Portal vein ligation for Staged hepatectomy) -- faster and greater growth of liver].
abstract: 75 years old female patient was referred with large, multifocal colorectal liver metastasis. Prior to this consultation she received chemotherapies of various protocols and series. Liver metastasis, however, increased at about 3 times of the original size during the 5 months of the oncological treatment. A right extended hepatectomy was planned to remove the tumor, but the residual liver (FLR) was found to be too small. Portal occlusion technique was necessary to induce the hypertrophy of the FLR. Due to rapid tumor progression we decided to perform the first ALPPS (PVL + in situ split) procedure in Hungary. After a very fast (9 days) and significant (94%) hypertrophy of the FLR the planned liver resection was successfully performed.
authors: Semmelweis Egyetem Általános Orvostudományi Kar I. sz. Sebészeti Klinika 1082 Budapest. Hahn.oszkar@med.semmelweis-univ.hu
authors: Oszkár
authors: O
authors: Hahn
authors: Ibolyka
authors: I
authors: Dudás
authors: Péter
authors: P
authors: Pajor
authors: Tamás
authors: T
authors: Györke
authors: Csaba
authors: C
authors: Korom
authors: Attila
authors: A
authors: Zsirka-Klein
authors: Péter
authors: P
authors: Kupcsulik
authors: László
authors: L
authors: Harsányi
mesh_terms: D000368:Aged; D015179:Colorectal Neoplasms / Q000473:pathology*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D006814:Hungary; D006984:Hypertrophy; D008026:Ligation; D008099:Liver / Q000254:growth & development* / Q000378:metabolism; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D064847:Multimodal Imaging; D009929:Organ Size; D011169:Portal Vein / Q000601:surgery*; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome