Outcomes of ALPPS as a Salvage Procedure

ALPPS was initially described, and gained acceptance, for patients with bilateral disease who needed multiple nodes resection in a two-stage hepatectomy fashion. Despite its adoption by many surgeons worldwide, the ALPPS concept still raises discussions, awareness and discourage by some authors. PPVE (percutaneous portal vein embolization) failure is a scenario where ALPPS technique is a compelling indication, as the patient already lost four weeks waiting for a volume gain that did not occur. Our team performed five ALPPS procedures, two of them as “rescue” procedure after unsuccessful PPVE. Both underwent well and were discharged without major postoperative complications.