PMC6260439_01
3D image reconstruction and MRCP of the donor liver.
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MHV tributaries in Segment 5, Segment 8 ventral and dorsal areas were >5 mm in diameter and need to be reconstructed for the recipient Fig. 1.
Patient posture and trocar placement.
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Four trocars were placed as shown in Fig. 2.
Intraoperative images. a. ICG injection into the right portal vein; b. Fluorescence mapping of the right lobe; c. Ischemic demarcation line of the right lobe; d. ICG fluorescent visualization of the right hepatic duct; e. Right lobe in retrieval bag with right hepatic artery (RHA), right portal vein (RPV) and right hepatic vein (RHV) isolated; f. Remnant liver.
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The right hepatic artery and portal branch were briefly clamped to reveal the main portal fissure and to confirm the transection plane Fig. 3a-c. The right lobe was put into the bag before the right hepatic artery, portal branches and hepatic vein were a securely clipped and divided Fig. 3d-f.
Back-table graft venoplasty and liver implantation.
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The V5, V8v and V8d were recanalized on the back-table using cryopreserved iliac artery allografts Fig. 4.