A solitary 6 cm lesion is identified in the right hepatic lobe in the patient described above. Which of the following statement(s) is/are true concerning the initial operative management?
A. To facilitate mobilization and assessment with intraoperative ultrasound, complete mobilization including dividing the left and right triangular ligaments would be necessary
B. In dividing the right triangular ligament, care must be taken to avoid injury to accessory right hepatic veins draining directly into the vena cava
C. Unless a considerable length of hepatic vein is found outside the hepatic parenchyma, early hepatic vein ligation should be avoided
D. Ligation of the portal arterial structures is always necessary before proceeding with hepatic lobectomy
Answer:A
A solitary 6 cm lesion is identified in the right hepatic lobe in the patient described above. Which of the following statement(s) is/are true concerning the initial operative management?
A. To facilitate mobilization and assessment with intraoperative ultrasound, complete mobilization including dividing the left and right triangular ligaments would be necessary B. In dividing the right triangular ligament, care must be taken to avoid injury to accessory right hepatic veins draining directly into the vena cava C. Unless a considerable length of hepatic vein is found outside the hepatic parenchyma, early hepatic vein ligation should be avoided D. Ligation of the portal arterial structures is always necessary before proceeding with hepatic lobectomy