This is a resection of segment 2 and 3 of the liver, located to the left of the falciform ligament. The tumor is in segment 2, close to where the left hepatic vein enters the inferior vena cava.
The liver is mobilized by cutting the falciform ligament and the left lobe’s connection to the diaphragm. The portal vein and hepatic artery are identified and the left branch of the portal vein is exposed.
The liver capsule is cut open before an endoscopic ultrasound probe is used to locate the tumor and map the blood vessels around it. The probe is removed and the ligament is dissected up to the inferior vena cava.
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