Back Table Procedure for ExSitu Splitting

During back-table splitting, attention should be paid to keep the liver cold. After standard procurement of the liver graft, the presence of a portal bifurcation is checked by inserting a blunt metallic probe into the portal trunk. The anatomy of the hepatic artery and the bile duct is identified by dissection, probing or back-table X-ray with contrast medium.

The ultimate dissection of the portal vein, the hepatic artery, the biliary tree and the suprahepatic veins is performed on the back-table.

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