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Liver implantation
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== Recipient hepatectomy: == * Bilateral subcostal incision (2-3cm lower if patient has ascites) with midline extension (right more laterally) * Divide and ligate round ligament * Divide falciform ligament towards suprahepatic vena cava * Place mechanical retractor * Left coronary and triangular ligaments divided * Reflect segments II and III to right and gastrohepatic ligament divided * CHA divided and clamped with bulldog (need to clamp common hepatic artery first to avoid a dissection due to preserved high flow) * Cystic duct and artery are divided (high) * PV dissected * Right lobe and IVC mobilised (take down coronary and triangular ligaments, and divide peritoneum longitudinally along IVC - complete separation of the posterior aspect of retrohepatic IVC from retroperitoneum * Now ready for removal - vascular clamps on PV, infrahepatic and suprahepatic IVC * Haemostasis of bare area
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