Principles of Hepatic Surgery

Principles of Segment-oriented Liver Resections –Mesohepatectomy, Monosegmentectomies,and Bisegmentectomies

Author(s): Kelvin K. Ng

Pp: 418-427 (10)

DOI: 10.2174/9781681082851116010028

* (Excluding Mailing and Handling)

Abstract

• Segment-oriented anatomical hepatic resection has the advantages ofachieving tumor-free margin and preservation of sufficient functional liverparenchyma.

• In this context, hepatic resection can be performed based on the preciseanatomical location of the tumor, according to the segmental anatomy asdescribed by Couinaud.

• In the technical aspect, this approach offers the advantage of performingliver transection along avascular planes so as to minimize intraoperative bloodloss.

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