101538 20220405150415.0 doi 10.1016/j.ijsu.2020.04.009 sideral 117983 ART-2020-117983 eng Hernandez-Alejandro, R. Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) procedure for colorectal liver metastasis 2020 Access copy available to the general public Unrestricted Since first described, Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) has garnered boisterous praise and fervent criticism. Its rapid adoption and employment for a variety of indications resulted in high perioperative morbidity and mortality. However recent risk stratification, refinement of technique to reduce the impact of stage I and progression along the learning curve have resulted in improved outcomes. The first randomized trial comparing ALPPS to two stage hepatectomy (TSH) for colorectal liver metastases (CRLM) was recently published demonstrating comparable perioperative morbidity and mortality with improved resectability and survival following ALPPS. In this review, as ALPPS enters the thirteenth year since conception, the current status of this contentious two stage technique is presented and best practices for deployment in the treatment of CRLM is codified. info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 6.071 2020 SURGERY 15 / 212 = 0.071 2020 Q1 T1 1.314 2020 Surgery 2020 Q1 Medicine (miscellaneous) 2020 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/submittedVersion Ruffolo, L.I. Alikhanov, R. Björnsson, B. Torres, O.J.M. Serrablo, A. Universidad de Zaragoza (orcid)0000-0003-4712-9891 1013 090 Universidad de Zaragoza Dpto. Cirugía Área Cirugía 82 (2020), 103-108 INTERNATIONAL JOURNAL OF SURGERY International Journal of Surgery 1743-9191 415884 http://zaguan.unizar.es/record/101538/files/texto_completo.pdf Preprint 1054785 http://zaguan.unizar.es/record/101538/files/texto_completo.jpg?subformat=icon icon Preprint oai:zaguan.unizar.es:101538 articulos driver 2022-04-05-14:36:51 ARTICLE