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![Case report of the fourth laparoscopic liver resection and review of repeat laparoscopic resection for recurrent hepatocellular carcinoma in cirrhotic liver](https://image.oaes.cc/85329194-2d17-42eb-ad29-2a69fda765b3/1390.fig.3.png)
Figure 3. Intraoperative findings. (A): Before the liver transection, minimum adhesiolysis was performed around the area of segment 4 of the liver. Intraoperative ultrasonography was used to demonstrate the locations of the tumors and the line of the umbilical plate, which were marked. (B): The liver parenchymal transection was commenced along a line to the right side of the umbilical plate. (C): During transection along this line, the Glissonian branches to subsegment 4a, and subsequently, 4b, were encircled and divided. (D): After dividing the branches to subsegments 4a and 4b, the area containing the hepatocellular carcinomas was clearly recognized as an ischemic area, prior to resection