■ Identify the foramen of Winslow. The Kocher maneuver should be limited.
■ Cut a window in the inferior vena cava.
■ Begin each anastomosis with a horizontal mattress suture.
■ Check the graft-inferior vena cava anastomosis before proceeding with the portal vein-graft anastomosis.
■ If there is significant bleeding when a portion of the caudate lobe is removed, apply pressure and most of the bleeding will drop within minutes.
■ Bleeding from either anastomosis is generally best managed by using a figure-of-eight technique.
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