Extended right hepatectomy with veno veno bypass
(Part II)
With caudate & caval resection, atrial thrombectomy, in situ cold perfusion, and caval reconstruction
00:10 CASE OVERVIEW
01:06 SUPRAHEPATIC CAVAL RECONSTRUCTION
02:22 INFRAHEPATIC CAVAL RECONSTRUCTION
03:18 LEFT HEPATIC VEIN RECONSTRUCTION
04:30 REMOVE CLAMPS & CLOSING
Case description
- A 60-year-old female presented with hepatocellular carcinoma in the right lobe of a non-cirrhotic liver.
- Resection of segments I, V, VI, VII, VIII, and a portion of segment IVa was performed, along with division of the left hepatic vein, inferior vena cava, and right atrium of the heart. Watch Part I here.
- In situ cold perfusion and veno veno bypass will continue to run during reconstruction of the cava and left hepatic vein.
- The cava will be reconstructed with a PTFE graft followed by reconstruction of the left hepatic vein.
CT scans (Arterial phase)
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