Figure 3.

Liver parenchyma dissecting-first method for right hemihepatectomy. The right Glissonean pedicle (RGP) is clamped temporarily by a bulldog clamp (A) to identify the ischemic range of the right liver, and then the demarcation is marked using electrocautery (B). Parenchyma was then transected along the labeled ischemia line under intermittent total inflow control to reveal the middle hepatic vein, the parenchyma was dissected along its right side and toward the cephalic direction. After sufficient dissection, the RGP is encircled with a suture using a Goldfinger dissector for traction (C). The pedicle is then transected using a laparoscopic vascular stapler (D).