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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Published online: January 19, 2023
Accepted: January 16, 2023
Received: December 13, 2022
© 2023 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.