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The concept of two-stage hepatectomy (TSH) was introduced by our team in 2000, and since then it has been adopted, developed, and modified worldwide. The indication of TSH is reserved to multiple bilobar tumors that are not amenable to complete resection by a single hepatectomy, even in combination with portal vein embolization (PVE)/ligation (PVL) or local ablation therapy. TSH is usually classified into four types: (A) right-first approach, (B) left-first approach with PVE/PVL, (C) left-first approach followed by PVE, and (D) ALPPS. In this chapter, we describe the detailed surgical procedure of TSH type B, a current mainstream of classical TSH, and discuss the issues to be settled, including dropout risk and outcomes.

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Two-Stage Hepatectomy

  • 章节

  • 发表日期：

    2026年

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  • Katsunori Imai,
  • René Adam

摘要

The concept of two-stage hepatectomy (TSH) was introduced by our team in 2000, and since then it has been adopted, developed, and modified worldwide. The indication of TSH is reserved to multiple bilobar tumors that are not amenable to complete resection by a single hepatectomy, even in combination with portal vein embolization (PVE)/ligation (PVL) or local ablation therapy. TSH is usually classified into four types: (A) right-first approach, (B) left-first approach with PVE/PVL, (C) left-first approach followed by PVE, and (D) ALPPS. In this chapter, we describe the detailed surgical procedure of TSH type B, a current mainstream of classical TSH, and discuss the issues to be settled, including dropout risk and outcomes.