Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing

Figure 4

Surgical method is shown. A regrowth tumor was observed in the medial segment of the liver (a). Aspiration of cystic fluid was performed to secure a field of view (b). The left hepatic artery (white arrow) was diverged from the left gastric artery and clipped (c). The left portal vein was identified and divided after clipping (d). The transection line was set using intraoperative ultrasonography (e). Pringle’s maneuver was performed prior to hepatic parenchyma transection (f). The (g) left hepatic duct and the (h) left hepatic vein were divided by a linear stapler.

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