 Liver transplantation LT is a well-established procedure for the treatment of end stage liver disease. Many improvements in the surgical technique have rendered this major operation to be carried out safely. Most important operative innovations after the initial introduction of LT in the clinical routine by Starzl include the use of veno-venous bypass in LT, the piggy back technique with preservation of the recipients caval and its modification introduced by Belghiti with side to side cavo-caval anastomosis. Nevertheless little improvements have been introduced in the surgical technique for tissue preparation and sealing of blood vessels during recipient hepatectomy. Due to end stage liver disease and recipients general and coagulatory condition, the hepatectomy carries the risk of severe blood loss which can impair the outcome after LT. Usually the recipient hepatectomy is carried out as a combination of sharp dissection of the hepatic adhesions to the abdominal wall and the diaphragm and clip or suture ligature of small retrohepatic caval vein branches. 