A cutting line is marked on the surface with a cautery knife approximately 1 cm to the right of the falciform ligament (A). Without any vascular obstruction during parenchymal dissection, the liver surface is incised with a cautery knife and the parenchyma is dissected with a Cavitron Ultrasonic Surgical Aspirator (CUSA) in combination with a bipolar cautery with irrigation system for hemostasis.
Small vessels are dissected with the cautery knife while thicker vessels (i.e., diameter >3mm) are ligated or clipped. Large vessels are clamped, dissected and suture-ligated by 5-0 or 6-0 Prolene stitches.
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