This technique is an alternative to associated cava reconstruction. It restores liver perfusion while working on the vena cava.
Open hepatic outflow by releasing the clamp on the suprahepatic vena cava. Clamp the vena cava again below the hepatic veins.
The retrohepatic vena cava can now be resected. Reconstruction is accomplished with a Gore-tex interposition graft in an end-to-end fashion. Then release the cava clamp and the tourniquet on the lower cava.
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