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Research Letter| Volume 25, ISSUE 3, P384-386, March 2023

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The left lateral sectionectomy first approach during total hepatectomy for difficult liver transplantation

  • Sophie Laroche
    Affiliations
    Department of Digestive, Hepatobiliary and Pancreatic Surgery and Liver Transplantation, AP-HP Pitié-Salpêtrière Hospital, Paris, France
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  • Chetana Lim
    Affiliations
    Department of Digestive, Hepatobiliary and Pancreatic Surgery and Liver Transplantation, AP-HP Pitié-Salpêtrière Hospital, Paris, France
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  • Fabiano Perdigao
    Affiliations
    Department of Digestive, Hepatobiliary and Pancreatic Surgery and Liver Transplantation, AP-HP Pitié-Salpêtrière Hospital, Paris, France
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  • Claire Goumard
    Affiliations
    Department of Digestive, Hepatobiliary and Pancreatic Surgery and Liver Transplantation, AP-HP Pitié-Salpêtrière Hospital, Paris, France
    Sorbonne Université, Paris, France
    Centre de Recherche de Saint-Antoine (CRSA), INSERM, UMRS-938, Paris, France
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  • Eric Savier
    Affiliations
    Department of Digestive, Hepatobiliary and Pancreatic Surgery and Liver Transplantation, AP-HP Pitié-Salpêtrière Hospital, Paris, France
    Centre de Recherche de Saint-Antoine (CRSA), INSERM, UMRS-938, Paris, France
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  • Géraldine Rousseau
    Affiliations
    Department of Digestive, Hepatobiliary and Pancreatic Surgery and Liver Transplantation, AP-HP Pitié-Salpêtrière Hospital, Paris, France
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  • Olivier Scatton
    Correspondence
    Correspondence: Olivier Scatton, Centre de Recherche Saint-Antoine, INSERM, UMRS-938, Department of Hepatobiliary and Liver Transplantation Surgery, Hôpitaux Universitaires Pitié Salpêtrière – Charles Foix, APHP Sorbonne Université, 75013, Paris, France.
    Affiliations
    Department of Digestive, Hepatobiliary and Pancreatic Surgery and Liver Transplantation, AP-HP Pitié-Salpêtrière Hospital, Paris, France
    Sorbonne Université, Paris, France
    Centre de Recherche de Saint-Antoine (CRSA), INSERM, UMRS-938, Paris, France
    Search for articles by this author
Published:January 19, 2023DOI:https://doi.org/10.1016/j.hpb.2023.01.004
      The technical aspects of orthotopic liver transplantation (LT) using the piggyback technique have been standardized. During the recipient hepatectomy, each element of the hepatic pedicle (i.e., hepatic artery, bile duct, and portal vein) is dissected, ligated and transected; the retrohepatic inferior vena cava (IVC) is then dissected, and the native liver is progressively separated from the IVC. Recipient hepatectomy is achieved with minimal mobilization of the IVC. During implantation of the graft, the continuity of each anastomosis is restored.
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      References

        • Le Roy B.
        • Cauchy F.
        • Sepulveda A.
        • Yoh T.
        • Dokmak S.
        • Weiss E.
        • et al.
        Modified technique of total hepatectomy in polycystic liver disease with caval flow preservation: the exposure left lateral sectionectomy.
        Transplantation. 2019; 103: 1414-1417
        • Nagino M.
        • DeMatteo R.
        • Lang H.
        • Cherqui D.
        • Malago M.
        • Kawakatsu S.
        • et al.
        Proposal of a new comprehensive notation for hepatectomy: the “new world” terminology.
        Ann Surg. 2021; 274: 1-3
        • Giambelluca D.
        • Di Martino E.
        • Salvaggop G.
        “The kissing sign” of liver and spleen.
        Abdom Radiol (NY). 2020; 45: 3800-3808