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. 2019 Dec;8(6):674-676.
doi: 10.21037/hbsn.2019.05.06.

Left hepatectomy with caudate lobe resection using the methylene blue staining technique for bismuth IIIb hilar cholangiocarcinoma

Ji-Ye Chen  1 , Shou-Wang Cai  1 , Zhi-Wei Liu  1 , Xian-Lei Xing  1
Affiliations

Left hepatectomy with caudate lobe resection using the methylene blue staining technique for bismuth IIIb hilar cholangiocarcinoma

Ji-Ye Chen et al. Hepatobiliary Surg Nutr. 2019 Dec.
No abstract available

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
This sequence of images shows left hepatectomy with caudate lobe resection using the methylene blue staining technique. (A) We perform skeletonization of the hepatoduodenal ligament, and expose the portal vein and hepatic artery branches as far as possible, the yellow arrow shows the right hepatic artery, the blue arrow shows the right portal vein; (B) arrow shows tiny caudate lobe portal branches behind the right portal vein; (C) the rubber band tube suspends the right portal vein, temporarily blocking by the bulldog clamp; (D) the methylene blue is injected through the portal vein trunk; (E) after injecting methylene blue via the portal vein trunk, the stained area showed the right caudate lobe to be removed; (F) the border of the left hemi-liver appears on the surface of the liver; (G) the cross section of the liver after left hepatectomy with resection of the caudate lobe and the arrow shows the middle hepatic vein; (H) the resected specimen.
See this image and copyright information in PMC

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