Strategies to increase the resectability of hepatocellular carcinoma

Figure 1 Associating Liver Partition and Portal Vein Ligation in Staged Hepatectomy. A: Tumor in the right liver lobe, the future liver remnant (the left liver lobe) will be small; B: In stage-1 ALPPS, the right portal vein is ligated, liver transected, inferior vena cava exposed, and gallbladder resected; C: In stage-2 ALPPS, the left liver lobe has hypertrophied, the right lobe with tumor is resected, right hepatic artery and right hepatic duct transected and ligated. Green: Bile duct; Red: Hepatic artery; Blue: Posterior inferior vena cava and anterior portal vein. ALPPS: Associating Liver Partition and Portal Vein Ligation in Staged Hepatectomy.