Transsection of the liver parenchyma

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.

Liver Hanging Maneuver

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