Figure 2. Thematic surgical strategy for the metastasis in segment VII (3-dimensional (3D) image made in SYNAPSE VINCENT®, 3D medical image analysis system using Fujifilm image recognition technology to construct 3D images compiled from CT, FUJIFILM Corporation, Tokyo, Japan) (right lateral view). The hepatic vein of segment VII (V7) (dotted line) was set as the anatomical landmark and identified in intraoperative echography. Surgical procedure: a) As recognition of the root of right the hepatic vein and hepatic hilum, discriminate between the caudate lobe (paracaval portion) and segment VII. b) Resect liver parenchyma from caudal of V7. c) Transect the peripheral Glissonean pedicle of segment VII. d) Expose the right hepatic vein from the root to peripheral. Arrow: metastatic tumor.