When inferior vena cava (IVC) resection is mandatory during liver surgery, use of a veno-venous bypass (VVB) is usually required despite its specific related adverse events. We describe a safe and alternative technique which allows both derivation of the portal and the caval blood flow by performing a lateral cavo-caval shunt using a prosthetic graft.
Keywords: Hepatic surgery; cholangiocarcinoma; ex-vivo; liver transplantation (LT); major liver resection.