Postmortem liver ex vivo, demonstrating the standard injury.

<p>(A) Inferior aspect; anterior toward top of image. (B) Left inferior oblique aspect; anterior toward right of image. Scale in cm. RL = right lateral lobe; RM = right medial lobe; LM = left medial lobe; LL = left lateral lobe; Q = quadrate lobe; C = caudate lobe (black arrow indicates location of infrahepatic IVC); Gb = gallbladder. The scissors in panel A has been inserted through the cut orifice of the main portal vein, and the scissors tip are emerging through the transected 2^nd portal vein branch to the LL lobe (1); the distal end of this portal vein branch also is indicated (2). The gap in the liver parenchyma created by the injury is indicated with a dashed yellow line. The 1^st portal vein branch to the LL lobe (3), visible at the bottom of the wound, was not injured in this subject. The soft tissues (including the common bile duct and hepatic artery) overlying the portal venous system have been dissected and flipped anteriorly (4). White arrow indicates orifice of transected hepatic vein to the LL lobe; the latter has a dusky appearance relative to the other lobes.