探讨联合肝脏离断和门静脉结扎的分阶段肝切除术（ALPPS）治疗肝泡型包虫病的安全性和有效性。

回顾性分析2015年6月至2016年1月在西安交通大学第一附属医院行ALPPS的2例肝泡型包虫病患者临床资料。患者均签署知情同意书，符合医学伦理学规定。例1男，47岁；例2女，24岁，均诊断为"肝包虫病"。例1患者第一阶段结扎门静脉右支，离断肝左内叶与左外叶间肝实质；第二阶段行肝右三叶切除术。例2患者第一阶段行右半肝切除，离断肝左内叶和左外叶间肝实质；第二阶段行肝左外叶切除术。

例1患者第一阶段手术时间540 min，出血量2 000 ml，术中输注RBC 8 U，血浆800 ml；第二阶段手术时间660 min，出血量4 500 ml，输注RBC 32 U，血浆2 000 ml。第一阶段术后恢复顺利，第二阶段术后出现胆漏，行经皮经肝胆道引流术恢复。例2患者第一阶段手术时间405 min，出血量2 000 ml，术中输注RBC 10 U，血浆2 000 ml；第二阶段手术时间190 min，出血量1 000 ml，输注RBC 4 U，血浆800 ml。术后恢复顺利。2例患者术后随访24个月，生存状况良好，无并发症发生及包虫复发。

ALPPS为剩余肝脏体积不足的复杂肝泡型包虫病手术治疗提供了新的术式选择。

To explore the safety and efficacy of associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) in treating hepatic alveolar echinococcosis.

Clinical data of 2 patients with hepatic alveolar echinococcosis undergoing ALPPS in the First Affiliated Hospital of Xi'an Jiaotong University between June 2015 and January 2016 were analyzed retrospectively. The informed consents of both patients were obtained and the local ethical committee approval was received. Case 1 was male, 47 years old. Case 2 was female, 24 years old. Both were diagnosed as hepatic echinococcosis. For case 1, ligation of the right portal vein and division of the left medial lobe and left lateral lobe were performed in the first stage, and resection of 3 right lobes was performed in the second stage. For case 2, right hemihepatectomy and division of the left medial lobe and left lateral lobe were performed in the first stage, and hepatic left lateral lobectomy was performed in the second stage.

For case 1 in the first stage, the operation duration was 540 min, blood loss was 2 000 ml, intraoperative RBC infusion was 8 U, and plasma infusion was 800 ml; in the second stage, the operation duration was 660 min, blood loss was 4 500 ml, RBC infusion was 32 U, and plasma infusion was 2 000 ml. Case 1 recovered well after the first stage operation, but suffered from bile leakage after the second stage operation, then received percutaneous transhepatic biliary drainage and recovered afterward. For case 2 in the first stage, the operation duration was 405 min, blood loss was 2 000 ml, intraoperative RBC infusion was 10 U, and plasma infusion was 2 000 ml; in the second stage, the operation duration was 190 min, blood loss was 1 000 ml, RBC infusion was 4 U, and plasma infusion was 800 ml. The patient recovered well after operation. Both 2 patients were followed up for 24 months after operation and lived in a good condition, no complication or recurrence of hydatid disease was observed.

ALPPS has provided a new option for the operative treatment of complex hepatic alveolar echinococcosis with insufficient remnant liver volume.