文摘
BackgroundThe main limiting factor for major liver resections is the volume and function of the future remnant liver (FLR). Portal vein embolization (PVE) is now standard in most centers for preoperative hypertrophy of FLR. However, it has a failure rate of about 20–30 %. In these cases, the “Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy” (ALPPS) may represent a suitable and possibly the only alternative.