fig3

Figure 3. First part of ALPPS tourniquet procedure. The green tape shows the position of the tourniquet; after placement, it is tightened along the marked transection line, approximately 1 cm deep. It can be seen how it should pass between the right and middle suprahepatic vein and the passages made through Sugioka’s gates. The section of the right portal vein is also shown. ALPPS: Associating liver partition and portal vein ligation for staged hepatectomy.