Liver Resection Surgery: Anesthetic Management, Monitoring, Fluids and Electrolytes

  • Emmanuel Weiss
  • Jean Mantz
  • Catherine Paugam-Burtz


Liver resection surgery has become a cornerstone of the therapeutic strategies for primary hepatocellular carcinoma (HCC) and liver metastases often in combination with systemic chemotherapy, embolization or radiotherapy. Other common indications are polycystosis, hydatidosis, benign tumors, pheochromocytoma, and trauma. Two major resection subtypes can be distinguished on anatomical bases: right hepatectomy, which includes resection of segments V–VIII, and left hepatectomy, which consists of resection of segments II–IV and sometimes I. Right lobectomy consists of right hepatectomy plus resection of segment IV. Left lobectomy is a left hepatectomy restricted to segments II and III. Liver resection is considered major when three or more segments are involved.

Better patient selection, improvement of surgical techniques (e.g. parenchymal sparing resections), optimization of anesthetic management and creation of specialized high-volume centers have decreased hepatic...


Risk assessment Ischemia-reperfusion injury Cardiac stresstest Hemodynamic monitoring Intravenous fluids Transfusion 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Emmanuel Weiss
    • 1
    • 2
  • Jean Mantz
    • 3
  • Catherine Paugam-Burtz
    • 1
    • 2
  1. 1.Department of Anesthesiology and Critical Care MedecineBeaujon, HUPNVS, Assistance Publique-Hôpitaux de Paris (AP-HP)ParisFrance
  2. 2.University Paris VII, Paris DiderotParisFrance
  3. 3.Department of Anesthesiology and Critical Care MedicineHEGP, APHPParisFrance

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