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High incidence of biliary stricture after associating liver partition and portal vein ligation for staged hepatectomy

Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a two‐stage procedure most frequently applied in the setting of an extended right‐sided hemi‐hepatectomy. Initial reports of high mortality have sparked debate regarding the safety and efficacy of the procedure. We describe a higher incidence of early post‐operative bile duct strictures after ALPPS, a complication rarely seen after conventional liver resection.