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Chapter
Hemilivers, Sections (Sectors), Segments
The concept of segmental anatomy of the liver was first described by Francis Glisson from Cambridge in 1654. This was to be the foundation of modern liver surgery but was forgotten for 300 years. Rex in 1888 r...
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Chapter
Hepatic Hilar Plate System
Glisson’s capsule which covers the liver extends into the liver at the hilus and covers the portal triad, where it is called Glisson’s sheath. Glisson’s capsule also covers the Glissonian pedicles inside the l...
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Chapter
Intrahepatic Glissonian Triad: Anatomy Relevant to Liver Resection and Liver Transplantation
After entering into the liver, each bile duct, hepatic artery and portal vein unit is surrounded by a fibrous sheath called the Glisson’s sheath (or Glissonian sheath, Valoean sheath). Each liver segment is su...
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Chapter
Five Important Anatomical Structures in Right or Left Hepatectomy
Surgery should be carried out based on a solid foundation of anatomy, for without anatomy, there is no surgery. Liver surgery is no exception. There are several anatomical structures that are especially releva...
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Chapter
Defining the Couinaud’s Liver Segments Clinically
Couinaud divided the liver into two hemilivers, four sectors and eight segments (or nine segments). Each segment is an individual unit with its own arterial and portal venous supply, and biliary and hepatic ve...
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Chapter
Low Central Venous Pressure in Liver Resectional Surgery
The liver receives its abundant blood supply from both the systemic arterial and the portovenous systems. After going through the liver, the blood then drains through the hepatic venous system into the inferio...
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Chapter
Liver Transection Techniques and Haemostasis on the Raw Surface of the Remnant Liver
Most bleeding occurs at the time of liver parenchymal transection during liver resection. There are many techniques that have evolved to reduce blood loss during liver transection.
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Chapter
Laparoscopic Liver Surgery
The introduction of minimally invasive surgery has revolutionised surgical practice in the past two decades. Minimally invasive surgery has been shown to be safe and effective for the surgical management of se...
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Chapter
Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS)
The abbreviation of this operation is ALPPS, not ALPS (a famous mountain in Europe).
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Chapter
Robotic Liver Surgery
The use of robots in surgery has come about within the past 25 years. Its introduction has revolutionised the field of minimally invasive surgery. It was developed to overcome the disadvantages of conventional...
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Chapter
Applied Anatomy of the Liver
When viewed from the front, the normal liver surface markings are:
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Chapter
Caudate Lobe
The caudate lobe is the dorsal portion of the liver lying posteriorly and embracing the retrohepatic inferior vena cava in a semicircumferential fashion. The caudate lobe lies between the major vascular struct...
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Chapter
Anatomy of the Hepatic Hilar Region
To understand the hilar region, we must first of all understand that although the extrahepatic portal triad consisting of the hepatic artery, the portal vein and the bile duct is enclosed by connective tissues...
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Chapter
Anatomy of the Abdominal Inferior Vena Cava and Its Suprarenal Branches
The inferior vena cava is formed by the junction of the right and left common iliac veins behind the right common iliac artery. This point corresponds to the surface of the abdomen at the transtubercular plane...
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Chapter
Anatomy Relevant to Liver Transplantation
There are many classifications of liver transplantation. A simple classification of the types of liver transplantation can be seen in Table 9.1.
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Chapter
The Three-Dimensional Body Visible System in Liver Surgery
Three-Dimensional-Computed Tomography (3D-CT) reconstruction has been used quite commonly in liver surgery. The 3D-reconstruction of the liver requires good quality CT (16 row, 32 row or 64 row CT), close CT c...
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Chapter
Hepatic Vascular Inflow and Outflow Occlusions
The impact of blood loss during liver resection and the need for perioperative blood transfusions have been shown to negatively impact perioperative morbidity and mortality, as well as long-term survival outco...
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Chapter
Different Approaches to Liver Resection
With better understanding of surgical anatomy, physiology and regeneration of the liver, and with improvements in technical developments in liver resection, alternative methods of approaches to liver resection...
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Chapter
Laparoscopic Liver Resection Using the Lowering of Hilar Plate Approach
This operation was designed based on the following surgical concepts.
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Chapter
Liver Transplantation
The operation is often performed with simultaneous removal of other organs for transplantation usually, the heart and kidneys, sometimes also the lungs and pancreas, and occasionally the small bowel. Before th...
