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01-09-2013 | Editorial

How can we safely climb the ALPPS?

Authors: Norihiro Kokudo, Junichi Shindoh

Published in: Updates in Surgery | Issue 3/2013

Excerpt

R0 resection with zero mortality is the ultimate goal for hepatobiliary surgeons, especially for the treatment of extensive hepatobiliary malignancies. The safety of liver resection is dependent on the function of the future liver remnant (FLR), and an inadequate FLR volume is related to a significant increase in postoperative mortality and morbidity. Therefore, various criteria for the FLR volume have been proposed to secure the safety of major hepatectomies according to the extent of underlying injury in the liver [1‐5]. However, these criteria for FLR volume often cause clinical dilemmas for surgeons in determining the surgical indications for patients with small FLR volumes because the safety of surgery and oncological radicality are, by nature, conflicting factors. …

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Title: How can we safely climb the ALPPS?
Authors: Norihiro Kokudo
Junichi Shindoh
Publication date: 01-09-2013
Publisher: Springer Milan
Published in: Updates in Surgery / Issue 3/2013
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI: https://doi.org/10.1007/s13304-013-0215-2

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