Laparoscopic step 1 ALPPS with microwave transection of the liver for Klatskin tumors: Is it worthwhile?
Marcello Donati a,b,*, Francesco Basile a, Karl J Oldhafer b,c
a Department of Surgery and Medical-Surgical Specialties, General and Oncologic Surgery Unit, Vittorio-Emanuele University Hospital of Catania, Via Plebiscito 628, Catania 95122, Italy
b Semmelweiss University of Budapest, Asklepios Campus Hamburg, Hamburg 20099, Germany
c Department of General and Abdominal Surgery, Asklepios Barmbek Hospital, Hamburg 22307, Germany ∗Corresponding author at: Department of Surgery and Medical Surgical Specialties, General and Oncologic Surgery Unit, Vittorio-Emanuele University Hospital, Via Plebiscito 628, Catania 95122, Italy
E-mail addresses: mdonati@unict.it, mar_donati@libero.it (M. Donati).
Abstract：To the Editor:
Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) was introduced in 2007 [1]. This technique is now used worldwide and has a wide spectrum of indications. However, scientific debate and un-regulated surgical experimentation concerning the application of this technique led the surgeons to organize the first Consensus Meeting [2] to build a scientific consensus. One of the most controversial indications to ALPPS is its application for Klatskin tumors. The aim of this letter is to analyze the critical aspects of laparoscopic microwave ALPPS for radical surgical treatment of Klatskin tumors.
2018, Vol. 17 
