A gauze swab is placed on the resection surface and a slight compression is maintained for a few minutes or longer in case of diffuse bleeding. Each bleeding on the cut surface should be suture-ligated. At the end of the procedure, the gauze swab is removed and inspected carefully. Any bile leaks (yellow spots on the gauze swab) are oversewn by PDS 4-0 or 5-0. Some groups routinely inject methylene blue in the common bile duct to identify bile leaks. In order to prevent rotation of the left hemiliver, the falciform ligament needs to be reattached (C). The abdomen is closed without drainage.
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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.