Left Liver Lobe and Supraceliac Aorta

Abstract

Background: Placing the bowels in the physiological position in the abdomen, mobilisation of the left liver lobe, followed by lesser omentum inspection (left aberrant hepatic artery), abdominal oesophagus dissection and cutting the right crus of the diaphragm are the steps that have to be taken to access the supraceliac abdominal aorta. Freed and marked, the supraceliac aorta will be cross-clamped with a clamp or ligated with ligature during cold perfusion.

Conclusion: Freeing the abdominal aorta beneath diaphragm is necessary in order to perform aorta cross-clamping and start abdominal cold organ perfusion. Here, special attention must be paid to the presence of the left aberrant hepatic artery, which has to be saved.