In a systematic review and network meta-analysis of 23 studies comprising 1557 patients, lvd was found to achieve the greatest increase in flr, while alpps was most effective in preventing dropout before completion hepatectomy. Pvl tended to be associated with a longer time to completion hepatectomy, and liver failure occurred less frequently after lvd, compared to pve and alpps. These findings indicate that lvd and alpps are the most efficacious and safe techniques for liver resection in patients with insufficient flr volume.
Review by Bozkurt E, Sijberden JP, Kasai M and Abu Hilal M in HPB (Oxford)
Copyright © 2024 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.