摘要
肝静脉剥夺术(liver venous deprivation,LVD)是近年来两步法肝切除最新开展的手术方式,以联合应用门静脉栓塞(portal vein embolization,PVE)和肝静脉栓塞(hepatic vein embolization,HVE)的方式来达到使残余肝脏(future liver remnant,FLR)快速增生的目的。LVD相比于之前开展的单纯PVE和联合肝脏分隔和门静脉结扎二步肝切除术(associating liver partition and portal vein ligation for staged hepatectomy,ALPPS),在达到了FLR迅速增生的同时,对病人造成更小的损伤,其并发症发生率和病死率也远远低于ALPPS。这也使得更多的肝脏恶性肿瘤病人获得了R0切除的机会。
In recent years,liver venous deprivation(LVD)is the latest two-stage hepatectomy.The combination of portal vein embolization(PVE)and hepatic venous embolization(HVE)is used to achieve the purpose of rapid growth of future liver remnant(FLR).Compared with PVE and associated liver partition and portal vein ligation for staged hepatectomy(ALPPS),LVD can cause less damage to patients when it reaches the rapid growth of FLR,and its complication rate and mortality are far lower than ALPPS.This also makes more patients with liver cancer get the chance of R0 resection.In this paper,the research of LVD in recent years is reviewed,its development history,operation mode,mechanism,advantages and disadvantages are analyzed and summarized,and its application prospect is discussed.
作者
王明宇
梁英健
尹兵
惠鹏
刘连新
WANG Ming-yu;LIANG Ying-jian;YIN Bing(Department of Liver Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《中国实用外科杂志》
CSCD
北大核心
2020年第1期102-105,共4页
Chinese Journal of Practical Surgery
基金
国家自然科学基金面上项目（No.81772588,No.81972307）
关键词
肝脏
肝静脉剥夺术
门静脉栓塞术
联合肝脏分隔和门静脉结扎二步肝切除术
liver
liver venous deprivation
portal vein embolization
associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)
