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Surgical Case Reports
Fig. 3 | Surgical Case Reports

Fig. 3

From: Left hepatectomy with suprahepatic inferior vena cava resection and reconstruction under veno-arterial extracorporeal membrane oxygenation for intrahepatic cholangiocarcinoma: a case report

Fig. 3

ICC invaded the MHV, LHV, suprahepatic IVC, and diaphragm. The suprahepatic IVC below the right atrium was taped after dissection of the diaphragm (arrow, a, b). Left hepatectomy including the suprahepatic IVC, MHV, LHV resection was performed (c, d). After dissection of the liver parenchyma, the IVC and RHV were confirmed by the anterior approach (arrowhead). For resection and reconstruction of the suprahepatic IVC, V-A ECMO was performed (d, arrow: blood flow during V-A ECMO)

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