Fig. 7
From: Reconstruction of the middle hepatic vein using a vein graft from the resected portion of the liver
Intraoperative hepatic vascular management: a skeletonization of right hepatic artery, portal vein. The bifurcation of portal vein was infiltrated by the tumor. b The root of the middle hepatic vein was infiltrated, after dissecting part of left hepatic vein from its root and rotated its direction, the main trunk of the middle hepatic vein was reconstructed with end to end anastomosis. c Reconstruction images of portal vein and hepatic vein. d Ultrasound on postoperative day 60 shows good blood flow in the right branch of the portal vein and middle hepatic vein. RPV right portal vein, PV portal vein, MHV middle hepatic vein, LHV left hepatic vein, RAA right anterior artery, RPA right posterior artery, IVC inferior vena cava, Bridge V bridge vein