Aggressive liver resection including major-vessel resection for colorectal liver metastases

Figure 1 Combined resection of liver and major vessels. A: Extended right hemihepatectomy with resection of the hepatic vena cava repaired primarily; B: Extended right hemihepatectomy with reconstruction of the hepatic vena cava with a Gore-Tex graft; C: Left hemihepatectomy with resection of the middle hepatic venous confluence with the IVC reconstructed using a portal vein graft from the resected liver specimen.