STEP 10Ligation of the right and middle hepatic veins

Approaching the hepatic veins, the middle hepatic vein is now isolated. As the right hepatic vein has been prepared before, both can be divided at the end of the parenchymal dissection by means of a vascular stapler.

Of note, the middle and left hepatic veins usually share a common trunk. Make sure that the left hepatic vein is preserved!

In addition to this extended right hemihepatectomy, the caudate lobe (segments 1,9) can be approached and resected en bloc, if needed (see Section 4).

STEP 11 Reattachment of the falciform ligament

The falciform ligament must be reattached to prevent rotation of the remnant liver, since this can result in an acute Budd-Chiari syndrome (obstruction of the venous outflow of the liver), which is a fatal complication after extended right liver resections .

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook


Post a comment