Better surgical treatment method for hepatocellular carcinoma with portal vein tumor thrombus

Figure 7 Case 2. A: The computed tomography scan showed tumor thrombus in the right portal vein (RPV) and portal vein (PV). B: Transcatheter arterial chemoembolization was performed before the operation. C and D: The left portal vein (LPV), RPV and PV were clearly revealed by dissecting the hepatic artery-hepatic duct flap. E: The LPV and PV were taped. F: Tumor thrombus in the RPV and PV was extracted. G: The tumor thrombus in the LPV was extracted, and the RPV stump was closed. H: Live transection was performed by the anterior approach. PV: Portal vein; PVTT: Portal vein tumor thrombus; RPV: Right portal vein; LPV: Left portal vein; MPV: Main portal vein; HA-HD: Hepatic artery-hepatic duct.