Originally published April 17, 2014
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The University of Hong Kong has successfully performed a novel form of hepatectomy in six patients with liver cancer.
All of the patients made a successful recovery without complications, including a six-year-old in the world's first such operation.
The surgery, known as associating liver partition and portal vein ligation for stage hepatectomy, or ALPPS, was first performed two years ago, but according to the South China Morning Post, about 30 percent of the patients who underwent such surgery suffered complications.
About 70 to 80 percent of tumours form in the right lobe of the liver, which is larger than the left lobe. Removing the right lobe poses a great risk to the patient.
The first step of ALPPS involves the removal of the portal veins from the right lobe. The surgeon will use an ultrasonic dissector to separate the two lobes causing more blood to be pumped into the left lobe.
Within eight days, the size of the left lobe increased by an average of 33 percent. When the left lobe grows to a certain size, the right lobe can be removed after its hepatic artery and duct bile are cut out.
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