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| Modified ALPPS as an individual rescue treatment strategy for
resection of Klatskin tumors |
| Gregor A Stavrou a , ∗, Dimitrios Kardassis a , Laura Ann Blatt a , Akram Gharbi a , Marcello Donati b |
a Department of General, Visceral and Thoracic Surgery, Surgical Oncology, Klinikum Saarbruecken, Saarbruecken, Germany
b Department of Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
∗ Corresponding author.
E-mail address: gstavrou@klinikum-saarbruecken.de (G.A. Stavrou). |
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Abstract Surgery for Klatskin tumors is a complex procedure often requiring extended hepatectomy combined with vascular and bile duct reconstruction in the setting of cholestasis, cholangitis, impaired liver regeneration and small future liver remnant (FLR) usually measured on computed tomography (CT) volumetry in a standardized (sFLR) fashion. Major morbidity is as high as 70%, and published literature estimates mortality around 15% [1]. Careful strategic planning and modulation of the FLR are factors improving outcomes.
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2023, Vol. 22 
