Fig. 4. Intraoperative photographs of the recipient hepatectomy. (A, B) We transected the right and left hepatic arteries at the highest level and transected the portal vein at the level of the second-order branch after marking the axis of the portal vein. (C, D) After total clamping of the inferior vena cava, we incised the hepatic parenchyma using a surgical knife, leaving the bulk of the hepatic parenchyma around the hepatic vein trunk. (E) The attached hepatic parenchyma was forcefully pulled out to detach it from the hepatic vein stumps. (F) The septa between the right and middle hepatic veins and the middle and left hepatic veins were incised to make a single large hepatic vein orifice with a 38 mm-wide transverse diameter.
