The technique of bipolar forceps and Kelly clamp is shown (B). A band can be placed between the cava and the liver, which allows lifting and better exposure (see also the chapter"Hanging Maneuver for Right Hepatectomy"). As an alternative, the left hand of the surgeon can be placed between the liver and the cava. Each identified bile duct or vessel (>3mm) is ligated on the left side and divided. In the hilum, the right bile duct is divided away from the main confluence above the caudate process.
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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.