Fig. 5

A Splitting of the liver and use of a Hom-Loc clip to close the thicker blood vessels. B Dissection and transection of the right hepatic duct (RHD). C Frozen pathological examination of the proximal bile duct margins. D The left portal vein is double-ligated and disengaged. E Hepatic duct-jejunal Roux en-Y anastomosis is performed after bile duct molding. F Sufficient hemostasis on the cut surface of the liver after completion of biliary anastomosis