FIGURE 5.

Application for hepatocellular carcinoma patients with main portal thrombosis. A: After a Glissonian approach using the cystic plate traction method, isolation of the main (large arrow) and first branch (small arrow) of the portal vein including thrombosis is performed with minimal dissection. The right Glissonian pedicle except for the portal vein, which includes collateral vessels, hepatic artery, and bile duct, is isolated by the subtraction method (triangle). B: After ligating the right Glissonian pedicle without a portal vein (triangle), the first branch (single arrow) of the portal vein including thrombosis is visualized more clearly