Figure 5.

Resection of liver metastasis from colorectal cancer at difficult location. (A,B,C) The patient has liver metastasis to segment II of the liver. Concurrently, there are two more lesions in segment IVA (B) and caudate lobe of the liver (C). (C) Tumour located at segment I (Caudate lobe) is technically very difficult to resect either open or laparoscopically due to its anatomically location, being situated between the IVC posteriorly and all the inflow structures to the left and right anteriorly. There are plenty of direct branches of PV and bile ducts connected to the caudate lobe e.g., the Spigelian branch of the portal vein.