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Technik der Leberresektion

Teil I. Leberanatomie und Operationsplanung

Liver resection

Part I. Anatomy and operative planning

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Zusammenfassung

Die Leberchirurgie hat in den letzten beiden Jahrzehnten wesentlich an Bedeutung gewonnen. Hierzu haben Verbesserungen in der bildgebenden Diagnostik und intensivmedizinischen Betreuung nach Leberresektion sowie vor allem Weiterentwicklungen auf dem Gebiet der Leberchirurgie selbst maßgeblich beigetragen. Nicht zuletzt auch durch die enormen Fortschritte in der Lebertransplantation wurden neue Operationstechniken entwickelt, die Anwendung in der Resektionschirurgie gefunden haben. Als Grundlage der modernen Leberchirurgie vermittelt dieser Beitrag die funktionelle und segmentale Anatomie der Leber sowie operationstechnische und onkologische Aspekte, die bei der Indikationsstellung zur Leberresektion zu berücksichtigen sind. Weiterhin werden die Operationsplanung und das anästhesiologische Management besprochen.

Abstract

Hepatic surgery has grown considerably in importance during the past two decades. Major roles in this development have been played by improvements in imaging diagnostics and intensive care as well as general advancements in hepatic surgical technique. Enormous strides in liver transplantation resulted in new methods also finding use in resective surgery. We present findings on functional and segmental anatomy of the liver on which current hepatic surgery is based, along with technical and oncological aspects requiring consideration for indication. Operative planning and anesthesiological management are discussed.

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  1. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland

    H. Lang

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Lang, H. Technik der Leberresektion. Chirurg 78, 761–774 (2007). https://doi.org/10.1007/s00104-007-1392-7

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  • DOI: https://doi.org/10.1007/s00104-007-1392-7

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