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Fig. 1 | BMC Surgery

Fig. 1

From: Long-term survival and portal vein patency with novel PVTT surgery approach in advanced HCC patients with Vp3/4 PVTT following combination therapy of TKIs and PD-1 inhibitors

Fig. 1

Surgical approach for VP3/4 PVTT. A HCC with Vp4 PVTT in right hemi liver; B reveal the MPV, the RPV and the LPV and temporarily block the MPV and the LPV, then longitudinally dissect the RPV; C completely extract the PVTT; D cut the RPV and occlude the cut edge; E flush the potential residual PVTT from the RPV and the LPV; F transversely suture the stump; G convert the angle of portal vein to straight Abbreviations: HCC Hepatocellular carcinoma, Vp portal vein invasion, PVTT portal vein tumor thrombus, MPV main portal vein, RPV right portal vein, LPV left portal vein

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BMC Surgery

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