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Indications

Procedure

1. Bilateral subcostal incision madef with upward extension to xiphoid process
2. Diseased liver mobilised, IVC clamped and liver removed
3. (Patient on veno-venous bypass - IVC blood directed back to heart via cannula in axillary/internal jugular vein)
4. Portal veins anastamosed end to end
5. Common hepatic arteries anastamosed end to end
6. CBD anastamosed end to end