Ex vivo liver resection followed by autotransplantation in radical resection of gastric cancer liver metastases: A case report

Figure 2 Intraoperative photos. A: The liver was removed from the abdominal cavity; B: The portal vein was anastomosed to the Geo-Tex artificial vessel to construct a portacaval shunt; C: The tumor has been completely resected from the isolated liver. Right hepatic vein and middle hepatic vein were intact; D: The remnant of the liver was implanted similar to orthotopic liver transplantation. After reconstruction, the right hepatic vein, middle hepatic vein, and inferior R vena cava had unobstructed blood flow; E: The first hepatic hilum after reconstruction; F: The first hepatic hilum after reconstruction. PV: Portal vein; RHV: Right hepatic vein; MHV: Middle hepatic vein; IHIVC: Infrahepatic inferior vena cava; SHIVC: Suprahepatic inferior vena cava; HA: Hepatic artery; BD: Biliary dilatation.