Abstract
Couinaud’s usual representation of liver anatomy, with a right liver composed of two sectors and four segments; a left liver, composed of two sectors and three segments; and a dorsal, retroportal segment 1; separated by the main hepatic veins and the portal bifurcation, offers a consensual ideal description that is very useful to localize liver lesion and the main types of liver resections. Alternative representations, and in particular customized radiological reconstructions and intraoperative ultrasound, allow the experienced liver surgeon to adapt the surgical procedures to the real individual anatomy, and to perform anatomically based, radical yet conservative resections (territorial liver resections). The principles of these different anatomical representations will be illustrated, together with the surgical anatomy of some important liver structures that permit the anatomical surgery that is required in this expanding specialty.
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Bismuth, H., Balzarotti, R., Majno, P. (2017). Liver Surgical Anatomy. In: de Santibañes, E., Ardiles, V., Alvarez, F., Busnelli, V., de Santibañes, M. (eds) Extreme Hepatic Surgery and Other Strategies. Springer, Cham. https://doi.org/10.1007/978-3-319-13896-1_1
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DOI: https://doi.org/10.1007/978-3-319-13896-1_1
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