Вестник хирургии имени И.И. Грекова (Apr 2019)

Percutaneous Radio-frequency Assisted Liver Partition with Portal vein embolization in Staged liver resection (PRALPPS) in patients with perihilar and intrahepatic cholangiocarcinoma: evaluation of short-term results

  • O. V. Melekhina,
  • M. G. Efanov,
  • R. B. Alikhanov,
  • V. V. Tsvirkun,
  • Yu. V. Kulezneva,
  • I. V. Kazakov,
  • P. P. Kim,
  • A. N. Vankovich

DOI
https://doi.org/10.24884/0042-4625-2019-178-2-22-27
Journal volume & issue
Vol. 178, no. 2
pp. 22 – 27

Abstract

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Objective. To estimate the short-term results of modified variant of ALPPS (PRALPPS) in patients with perihilar and intrahepatic cholangiocarcinoma.Material and methods. Procedure was indicated for future liver remnant <40%.Results. PRALPPS was applied in 13 patients and completed in 10 patients. Degree of hypertrophy and kinetic growth rate were 48 and 4.3%/day respectively. Major morbidity (>II) after the stage 1 and 2 was presented in 3 (only IIIa) and 7 patients, respectively.Conclusion. PRALPPS may be considered as an effective and safe procedure in patients with perihilar and intrahepatic cholangiocarcinoma.

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