Laparoscopic hepatectomy based on diseased bile duct tree territory guided by double landmarks for hepatolithiasis: A case report

Figure 3 Intraoperative images during the operation. A: Adhesiolysis and mobilization of the extrahepatic bile duct; B: Cystic dilatation of the extrahepatic bile duct was identified. Choledochotomy was performed, followed by choledochoscopic exploration, stone extraction, and assessment of the duodenal papilla; C: Resection of the dilated bile duct; D: Intermittent occlusion of the right anterior pedicle; E: Hepatic transection guided by the pathological bile ducts and hepatic veins; F: Opening of the hilar bile ducts with complete stone clearance; G: Repeat choledochoscopic exploration of the right anterior sectoral bile ducts; H: Hepaticojejunostomy performed.