Dissection of the Liver Parenchyma

This is performed in the same manner as in middle segmentectomy. In a right lobectomy or extended right lobectomy, the anterior approach technique (see below) must be used to prevent intraoperative dissemination of tumor cells.

Fig. 5.50. After several-centimeter dissection, a large hepatic vein is bifurcated from the middle hepatic vein

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