Left hepatectomy with concomitant the right hepatic artery and the portal vein resection

<p>The supplemental video shows our procedure for HAR in PHCC (supplemental video). The first step of the surgical procedure for HAR was similar to the standard resection for PHCC surgery: lymphadenectomy (skeletonization) for the hepatoduodenal ligament and distal bile duct resection just above the posterior superior pancreatic duodenal artery. We usually pick up the right hepatic artery (or posterior branch) at Rouviere&rsquo;s sulcus before skeletonization around the proper hepatic artery to confirm resectability. Hepatic artery reconstruction is usually performed as the final step after bile duct and portal vein resection and reconstruction.</p>