Feasibility of Right Upper Transversal Hepatectomy in the Absence of an Inferior Right Hepatic Vein: New Insights regarding This Complex Procedure

Figure 5

(Patient 4) (a, b) Colorectal liver metastasis with right and middle hepatic veins invasion. (c) Middle hepatic vein isolation (asterisk) during liver transection. (d) Immediate postoperative aspects of the liver with proximal right and middle hepatic vein ligature (white and yellow arrows, respectively). (e) Left hepatic vein draining remnant liver segments. (f) Postoperative segments 5 and 6 atrophy.

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