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Fig. 2 | Surgical Case Reports

Fig. 2

From: Surgical resection of recurrent extrahepatic hepatocellular carcinoma with tumor thrombus extending into the right atrium under cardiopulmonary bypass: a case report and review of the literature

Fig. 2

Operative findings. a White arrow shows the recurrent tumor in the diaphragm. The right atrium, infrahepatic inferior vena cava (IVC), left and middle hepatic veins, and hepatoduodenal ligament were encircled with vascular tape. Single asterisk right atrium, double asterisk IVC, white arrowhead hepatoduodenal ligament, black arrow IVC and hepatic vein. b The IVC wall was incised (yellow arrowheads), and the right atrial tumor thrombus with the diaphragmatic tumor was removed en bloc. c The IVC wall was sutured closed in a simple continuous pattern

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