Extended left trisectionectomy severing all hepatic veins preserving segment 6 and inferior right hepatic vein

Involvement of all major hepatic veins is usually a contraindication to resection for advanced tumors of the liver. To overcome this surgical challenge some authors described several techniques of hepatic vein reconstruction. 1 Sakamoto Y. Yamamoto J. Kosuge T. et al. Extended left hepatectomy by severing all major hepatic veins with reconstruction of the right hepatic vein. Surg Today. 2004; 34: 482-484 Crossref PubMed Scopus (12) Google Scholar , 2 Hemming A.W. Reed A.I. Left trisegmentectomy with reconstruction of segment 6 hepatic venous outflow using cryopreserved vein graft. J Gastrointest Surg. 2005; 9: 353-356 Crossref PubMed Scopus (10) Google Scholar