ALPPS procedure for hepatocellular carcinoma with macrovascular thrombosis: a new opportunity?

Giovanni Battista Levi Sandri (1) , Quirino Lai (1) , Michel Rayar (1) , Laurent Sulpice (2)

1 Service de Chirurgie Hépatobiliaire et Digestive [Rennes] = Hepatobiliary and Digestive Surgery [Rennes]
2 Foie, métabolismes et cancer

We read with interest the recent article entitled, ‘‘Surgical treatment of hepatocellular carcinoma associated with hepatic vein tumour thrombosis’’ published by Kokudo et al. [1]. We congratulate the authors for their study, based on an experience of over 1500 liver resections. The authors conclude that surgical treatment of patients with tumour thrombosis, involving major hepatic veins (mHVTT), does not differ in terms of mortality, length of hospital stay and frequency of complications compared with patients with microscopic invasion (pHVTT). We agree with the authors’ conclusion.

Domaines: Hépatologie et Gastroentérologie

Giovanni Battista Levi Sandri, Quirino Lai, Michel Rayar, Laurent Sulpice. ALPPS procedure for hepatocellular carcinoma with macrovascular thrombosis: a new opportunity?. Journal of Hepatology, 2015, 62 (1), pp.241--242. ⟨10.1016/j.jhep.2014.08.048⟩. ⟨hal-01146922⟩