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GI Surgery Annual pp 205–232Cite as

Adjuncts to Liver Resection

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Part of the book series: GI Surgery Annual ((GISA,volume 25))

Abstract

Liver resection is based on a sound understanding of segmental anatomy which essentially defines the relationship between elements of the vasculobiliary tree and its associated parenchyma, made largely of organized cords of hepatocytes. Carl Langenbuch is credited with performing the first elective liver resection in 1888. The initial approaches focussed on directly splitting the parenchyma by mechanical means (finger ‘fracture’ or ‘Kelly-clysis’) with bleeding controlled by sutures as it arose. Pringle, in 1908, reported temporary occlusion of vascular inflow at the porta as a means of reducing blood loss while transecting the liver.

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Conflict of Interest Statement

The authors declare no conflicts of interest. The list of commercially available devices and products is by no means complete, and several other products may be available in each category which are beyond the scope of this review.

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  1. Institute of Liver and Biliary Sciences, New Delhi, India

    Ragini Kilambi & Senthil Kumar

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  1. Ragini Kilambi
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  1. Department of GI Surgery and Liver Transplantation, All India Institute of Medical Sciences, New Delhi, India

    Peush Sahni

  2. Department of GI Surgery and Liver Transplantation, All India Institute of Medical Sciences, New Delhi, India

    Sujoy Pal

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Kilambi, R., Kumar, S. (2019). Adjuncts to Liver Resection. In: Sahni, P., Pal, S. (eds) GI Surgery Annual. GI Surgery Annual, vol 25. Springer, Singapore. https://doi.org/10.1007/978-981-13-3227-2_9

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