Ligamentum teres hepatis as a graft for portal and/or superior mesenteric vein reconstruction: From bench to bedside

Figure 2 Vascular reconstruction. A: Tangential resection of the involved vein with the preservation of portal vein (PV)-splenic vein (SV)-superior mesenteric vein (SMV) confluence; B: Vein reconstruction with ligamentum teres hepatis (LTH) patch; C: PV reconstruction with an interposition LTH graft with the preservation of SV-SMV confluence; D: Repair of the SMV with an interposition LTH graft with the preservation of PV-SV confluence. The white arrows indicate the anastomosis line. LTH: Ligamentum teres hepatis; PV: Portal vein; SMV: Superior mesenteric vein; SV: Splenic vein; P: Pancreas; HA: Hepatic artery.