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World J Hepatol. Jun 8, 2017; 9(16): 733-745
Published online Jun 8, 2017. doi: 10.4254/wjh.v9.i16.733
Abdominal cross-sectional imaging of the associating liver partition and portal vein ligation for staged hepatectomy procedure
Michele Zerial, Dario Lorenzin, Andrea Risaliti, Chiara Zuiani, Rossano Girometti
Michele Zerial, Chiara Zuiani, Rossano Girometti, Institute of Diagnostic Radiology, Department of Medicine, University of Udine, University Hospital “S. Maria della Misericordia”, 33100 Udine, Italy
Dario Lorenzin, Andrea Risaliti, Clinical Surgery, Department of Medicine, University of Udine, University Hospital “S. Maria della Misericordia”, 33100 Udine, Italy
Author contributions: Girometti R and Lorenzin D projected the paper; Zerial M, Girometti R and Zuiani C planned the review structure; Lorenzin D and Risaliti A performed surgeries and collected surgical images; Zerial M reviewed radiological literature; Lorenzin D and Risaliti A reviewed surgical literature; Zerial M, Zuiani C and Girometti R reviewed radiological images and selected them; Zerial M wrote the paper; Zuiani C and Girometti R prepared the tables; Zerial M and Lorenzin M prepared the figures; Girometti R, Lorenzin D, Zuiani C and Risaliti A reviewed the paper for structure and content; Girometti R supervised the work.
Conflict-of-interest statement: None of the authors has conflicts of interest to disclose. This paper has been presented as an electronic poster at the European Congress of Radiology (ECR) 2016 and European Society of Gastrointestinal and Abdominal Radiology (ESGAR) annual meeting 2016.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Rossano Girometti, MD, Institute of Diagnostic Radiology, Department of Medicine, University of Udine, University Hospital “S. Maria della Misericordia”, p.le S. Maria della Misericordia, 15, 33100 Udine, Italy. rgirometti@sirm.org
Telephone: +39-0432-559266 Fax: +39-0432-559867
Received: January 27, 2017
Peer-review started: February 12, 2017
First decision: March 10, 2017
Revised: March 22, 2017
Accepted: April 6, 2017
Article in press: April 10, 2017
Published online: June 8, 2017
Core Tip

Core tip: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a variant of two-stage hepatectomy aimed to obtain rapid hypertrophy of the future liver remnant. Given its recent introduction, there are still controversies on indications and safety issues. Cross-sectional imaging by means of multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) play a key role in the multidisciplinary process of patients’ selection and postoperative management. This review aims to emphasize such a role and illustrate main abdominal ALPPS-related findings on MDCT or MRI.