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Surgical Case Reports
Fig. 2 | Surgical Case Reports

Fig. 2

From: Urgent intraoperative endovascular stent placement to resolve acute hepatic or portal venous obstruction during liver surgery: a case series

Fig. 2

Intraoperative findings (a–c) and a postoperative computed tomography (CT) image (d) (Case 1). a A picture showing the operative field after a segment S4/8 non-anatomic hepatectomy with combined resection of the root-side part of the MHV. Note the clamped stump of the MHV. Inferior vena cava (IVC) and the RHV were exposed. The LHV was already partially resected and reconstructed (rLHV) after an anatomic segment 3 resection for another tumor. b Intraoperative hepatic venogram showing a severe stricture at the anastomosis between the interpositional EIVG and peripheral MHV (arrowhead). c A picture showing the operative field after deployment of SEMS (dotted two-way arrow) inside the HV reconstruction from the RHV to the peripheral MHV across the anastomosis using an EIVG (solid two-way arrow). d A CT image at 8 months postoperatively showing a fully patent SEMS with sufficient MHV outflow

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