RESUMO

Associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) has emerged as an alternative for patients with bilobar colorectal liver metastasis and a small future liver remnant (FLR). In cases of extensive disease, ALPPS can be performed, leaving only one segment of the liver as FLR. We describe a case of monosegmental ALPPS using segment 4 as FLR. In conclusion, ALPPS should be reserved for a selected group of patients. Monosegmental ALPPS is feasible, but should be performed by hepatobiliary surgeons in specialized centers.

Assuntos

Adenocarcinoma/cirurgia , Neoplasias do Colo/patologia , Hepatectomia/métodos , Neoplasias Hepáticas/cirurgia , Metastasectomia/métodos , Veia Porta/cirurgia , Adenocarcinoma/secundário , Adulto , Quimioterapia Adjuvante , Feminino , Humanos , Ligadura , Neoplasias Hepáticas/secundário , Terapia Neoadjuvante , Fatores de Tempo , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Carga Tumoral