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| 1 | Rescue associating liver partition and portal vein ligation for staged hepatectomy after portal embolization: Our experience and literature review显示文摘AIM To report a single-center experience in rescue associating liver partition and portal vein ligation for staged hepatectomy(ALPPS), after failure of previous portal embolization. We also performed a literature review.METHODS Between January 2014 and December 2015, every patient who underwent a rescue ALPPS procedure in Toulouse Rangueil University Hospital, France, was included. Every patient included had a project of major hepatectomy and a previous portal vein embolization(PVE) with insufficient future liver remnant to body weight ratio after the procedure. The ALPPS procedure was performed in two steps(ALPPS-1 and ALPPS-2), separated by an interval phase. ALPPS-2 was done within 7 to 9 d after ALPPS-1. To estimate the FLR, a computed tomography scan examination was performed 3 to 6 wk after the PVE procedure and 6 to 8 d after ALPPS-1. A transcystic stent was placed during ALPPS-1 and remained opened duringthe interval phase, in order to avoid biliary complications. Postoperative liver failure was defined using the 50-50 criteria. Postoperative complications were assessed according to the Dindo-Clavien Classification.RESULTS From January 2014 to December 2015, 7 patients underwent a rescue ALPPS procedure. Median FLR before PVE, ALPPS-1 and ALPPS-2 were respectively 263 cc(221-380), 450 cc(372-506), and 660 cc(575-776). Median FLR/BWR before PVE, ALPPS-1 and ALPPS-2 were respectively 0.4%(0.3-0.5), 0.6%(0.5-0.8), and 1%(0.8-1.2). Median volume growth of FLR was 69%(18-92) after PVE, and 45%(36-82) after ALPPS-1. The combination of PVE and ALPPS induced a growth of median initial FLR of +408 cc(254-513), leading to an increase of +149%(68-199). After ALPPS-2, 4 patients had stage Ⅰ-Ⅱ complications. Three patients had more severe complications(one stage Ⅲ, one stage Ⅳ and one death due to bowel perforation). Two patients suffered from postoperative liver failure according to the 50/50 criteria. None of our patients developed any biliary complication during the ALPPS procedure.CONCLUSION Rescue ALPPS may be an alternative after unsuccessful PVE and could allow previously unresectable patients to reach surgery. Biliary drainage seems to reduce biliary complications. | Charlotte Maulat Antoine Philis Bérénice Charriere Fatima-Zohra Mokrane Rosine Guimbaud Philippe Otal Bertrand Suc Fabrice Muscari | 2017 | World Journal of Clinical Oncology2017，8，4： | 7 |
| 2 | Noise analysis and synthesis for 3D laser depth scanners显示文摘 | Sun X Rosin P L Martin R R | 2009 | Graph- ical Models2009，71，2： | 1 |
| 3 | New methods for competitive co-evolu- tion 显示文摘 | Rosin C D Belew R K | 1997 | Evolutionary Computation1997，5，1： | 1 |
| 4 | Sequencing of breast cancer stem cell populations indicates a dynamic conver- sion between differentiation states in vivo显示文摘 | KLEVEBRING D ROSIN G MA R | 2014 | Breast Cancer Res2014，16，4： | 1 |
| 5 | Does arterial rexanalization improve outcome in carotidterritory stroke显示文摘 | Von Kummer R Holle R Rosin L | 1995 | Stroke1995，26，： | 1 |
| 6 | Laws governing the fineness of coal 显示文摘 | ROSIN R RAMMLER E | 1933 | J Inst Fuels1933，7，： | 1 |
| 7 | Fast and effective feature-preserving mesh denoising显示文摘 | Sun X F Rosin P L Martin R R | 2007 | IEEE Transactions on Visualizationand Computer Graphics2007，13，5： | 1 |
| 8 | Sequencing of breast cancer stem cell populations indicates a dynamic conversion between differentiation states in vivo 显示文摘 | KLEVEBRING D ROSIN G MA R | 2014 | Breast Cancer Res2014，16，4： | 1 |
| 9 | Closed-loop deep brain stimulation is superior in ameliorating Parkinsonism 显示文摘 | Rosin B Slovik M Mitelman R | 2011 | Neuron2011，72，2： | 1 |
| 10 | Bas-relief generation using adaptive histogram equalization显示文摘 | Sun X Rosin P L Martin R R | 2009 | IEEE Transactions on Visualization and Computer Graphics2009，15，4： | 1 |
| 11 | Chemical reactions in a solar furnace-direct heating of the reactor in a tubular receiver显示文摘 | | 1989 | Solar Energy1989，24，： | 1 |
| 12 | A new nuclear component of the Wnt signaling pathway 显示文摘 | Thompson B Townsley F Rosin Arbesfeld R Musisi H Bienz M | 2002 | Nat Cell Biol2002，4，： | 1 |
| 13 | Manifestation of Hashimoto's encephalopathy years before onset of thyroid dis ease显示文摘 | Peschen Rosin R Schabet M Dichgans J | 1999 | Fur Neurol1999，41，2： | 1 |
| 14 | Random walks for feature-preserving mesh denoising 显示文摘 | Sun X F Paul L Rosin Ralph R Martin | 2008 | Computer Aided Geometric Design2008，25，7： | 1 |
| 15 | Solar energy storage via a closed loop chemical heat pipe 显示文摘 | | 1993 | Solar1993，50，： | 1 |
| 16 | Closed-loop deep brain stimulation is superior in ameliorating parkinsonism显示文摘 | Rosin B Slovik M Mitelman R | 2011 | Neuron2011，72，2： | 1 |
| 17 | Fast and effective feature-preserving mesh denoising 显示文摘 | Sun Xianfang Rosin L Martin R | 2007 | IEEE Transactions on Visualization and Computer Graphics2007，13，5： | 1 |
| 18 | New methods for competitive coevolution显示文摘 | Rosin C D Belew R K | 1997 | Evolutionary Computation1997，5，1： | 1 |
| 19 | New methods for competitive co-evolution显示文摘 | ROSIN C D BELEW R K | 1997 | Evolutionary Computation1997，5，1： | 1 |
| 20 | Methane reforming by direct solar irradiation of the catalyst显示文摘 | LEVY M RUBIN R ROSIN H | 1992 | Solar Energy1992，17，： | 1 |
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