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Correspondence to Professor Artem Stepanyan, Gynecologic Oncology, Nairi Medical Center, Yerevan 0015, Armenia; stepanyan.artem@gmail.com Removal of upper abdominal disease remains one of most challenging parts of surgery in advanced ovarian cancer. How do I safely avoid the supra-hepatic vena cava? A#4: (surgical video) The right coronary ligament is being incised over the supra-hepatic vena cava and the para-vascular space, located just laterally to the right hepatic vein, is entered. How do I safely avoid the infra-hepatic vena cava? A#5: (surgical video) For good access to the infra-hepatic inferior vena cava and Morrison’s pouch peritoneum the liver is manually retracted upwards and cephalad, the hepatic flexure of the colon is retracted caudad, and the duodenum is retracted medially.