title: 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.
abstract: 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.
authors.affiliation: London Health Science Center, Hepatobiliary Surgery, London, Ontario, Canada.
authors.forename: Karen
authors.identifier: http://orcid.org/0000-0001-8021-6386
authors.initials: K
authors.lastname: Pineda-Solís
authors.affiliation: London Health Science Center, Hepatobiliary Surgery, London, Ontario, Canada.
authors.forename: Dave
authors.initials: D
authors.lastname: Paskar
authors.affiliation: London Health Science Center, Hepatobiliary Surgery, London, Ontario, Canada.
authors.forename: Mauro
authors.initials: M
authors.lastname: Tun-Abraham
authors.affiliation: University of Rochester, Hepatobiliary Surgery, Rochester, New York.
authors.forename: Roberto
authors.initials: R
authors.lastname: Hernandez-Alejandro
mesh_terms: D000328:Adult; D001650:Bile Duct Neoplasms / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D008026:Ligation; D011169:Portal Vein / Q000601:surgery*
keywords: ALPPS; expanding limits liver resection; monosegmental liver resection