Expanding the limits of resectability: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) using monosegment 6, facilitated by an inferior right hepatic vein.

Pineda-SolĂ­s K, Paskar D, Tun-Abraham M et al.

London Health Science Center, Hepatobiliary Surgery, London, Ontario, Canada.

Journal of surgical oncology. Mar 2017.

We describe our technique using the combination of a recent surgical technique (ALPPS) and an anomalous vascular anatomy to push the current limits of liver resectability. The approach allowed the resection of the three hepatic veins and preserved a peripheral segment 6 as the only future liver remnant, having an inferior hepatic vein as its outflow.