Abstract
Summary: High hilar dissection (HHD) technique was reported as a novel technique for recipient hepatectomy. It allowed performing multiple tension-free duct to duct biliary anastomoses, hence reducing biliary complications. However, longer anhepatic phase is its main drawback. We describe a new modification of HHD technique, called left portal vein flow preserving HHD (LFP-HHD). It involves high intrahepatic division of hilar structures while maintaining the portal venous drainage through the left portal vein. Control of right hemi-liver inflow allows for division of the right hepatic vein, and further dissection of the retro-hepatic inferior vena cava easily and safely. Dissection of the anterior hilar structures can be accomplished. According to the co-ordination with the donor and bench surgery, the liver could be easily explanted. LFP-HHD technique is a novel simple technique for recipient hepatectomy that can be tailored for certain clinical conditions. It overcomes limitations of original HHD technique without compromising its merits.
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