Living Donor Liver Transplantation as a Backup Procedure: Treatment Strategy for Hepatocellular Adenomas Requiring Complex Resections

Figure 1

(a) MRI images showing a large heterogeneous mass compromising the RL and segment IV and in close contact with the FLR vessels (Arrow). (b) MRI image showing a large heterogeneous lesion occupying the whole RL and preserving segments II, III, and inferior IV. The left hepatic vein (arrow 1) and the left branch of the portal vein (arrow 2) are in close contact with the lesion. (c) Intraoperative aspect: tumor mass occupying almost the entire liver, preserving only segments II, III, and inferior IV. (d) MRI with hepatospecific contrast agent showing a lesion without contrast enhancement on the hepatobiliary phase in the caudate lobe with involvement of the middle and right hepatic veins and in close contact with the left hepatic vein.

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