Abstract
AbstractTo avoid unnecessary intraoperative bleeding, total hepatectomy must be carried out along the precise surgical plane under good visualization. Although postoperative bleeding can occur at any site of dissection around the liver, special attention should be paid to the right adrenal gland, subphrenic area, and hepatic hilum for secure hemostasis. To acquire healthy vascular inflows with sufficient length, we must perform the fine dissection around the hepatic artery, portal vein, and bile duct with sufficient information about the vascular anatomy of the hepatic hilum. In the case of total occlusion of inferior vena cava during the implantation, the veno-venous bypass can provide hemodynamic stability and decompression of mesenteric blood pressure. But, the risk of complications such as venous thrombosis, air embolism, lymphocele, etc. should be considered.KeywordsDeceased donor liver transplantationTotal hepatectomyVeno-venous bypass
Published Version
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