Pediatric liver transplantation

Figure 4 Main phases of split liver procurement. A: Dissection of the hepatogastric ligament and encircling of the left hepatic artery; B: Identification and encircling of the extrahepatic portion of the left branch of the portal vein; C: Isolation and encircling of the left hepatic vein; D: Division with a scalpel of the porta hepatis containing the bile duct(s) of the left lateral segment; E: Section of the parenchyma started along the falciform ligament; F: Identification of the plane of parenchymal dissection by passing the cotton tape, which encircled the left hepatic vein, on the posterior surface of the liver in the fossa of the ductus venosus; G: Laterally to the left branch of the hepatic artery and of the portal vein; H: The two partial grafts at the end of the procedure.