Fig. 2

Left lobe split-liver graft and graft implantation. A Anatomical aspect of the left lobe split-liver graft. The common portal trunk, complete arterial hepatic trunk and left hepatic duct are preserved. The suprahepatic anatomy includes the common venous trunk with left hepatic vein and the origin of the median vein. B The RAPID graft implantation involves (in color the graft, in grey the recipient): venous anastomosis between the common venous trunks; portal anastomosis between the donor portal vein and the recipient portal vein (preferably avoiding the left portal branch), ideally in a side-to-end fashion; arterial anastomosis between the celiac trunk of the graft to the common (or proper) hepatic artery or the stump of left hepatic artery or splenic artery of the recipient; biliary anastomosis with an hepaticojejunostomy between the left biliary duct and jejunum with a R-and-Y reconstruction