Skip to main content
SpringerLink
Log in

Anatomical Liver Resection

  • Chapter
  • First Online:
Book cover Operative Techniques in Liver Resection

  • 2212 Accesses

Abstract

In 1952, Lortat-Jacob reported the first successful anatomic right hepatectomy for cancer [1]. It is through better understanding of hepatic segmental anatomy and refinements in intraoperative ultrasound (IOUS) that anatomical segment-based liver resection gradually matures in the past 30 years [2–5]. Segment-based liver resection allows maximal preservation of non-tumorous liver parenchyma while achieving adequate tumor resection margins. Segment-based liver resection then further develops into subsegment-based liver resection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lortat-Jacob JL, Robert HG, Henry L. Un cas d’hepatectomie droit reglee. Memoires de la Academie de Chirurgie. 1952;78:244–51.

    CAS  Google Scholar 

  2. Makuuchi M, Hasegawa H, Yamazaki S. Ultrasonically guided subsegmentectomy. Surg Gynecol Obstet. 1985;161(4):346–50.

    PubMed  CAS  Google Scholar 

  3. Makuuchi M, Takayama T, Kosuge T, Yamazaki S, Yamamoto J, Hasegawa H, Takayasu K. The value of ultrasonography for hepatic surgery. Hepatogastroenterology. 1991;38:64–70.

    PubMed  CAS  Google Scholar 

  4. Lau WY. The history of liver surgery. J R Coll Surg Edinb. 1997;42:303–9.

    PubMed  CAS  Google Scholar 

  5. Lau WY. A review on the operative techniques in liver resection. Chin Med J (Engl). 1997;110:567–70.

    CAS  Google Scholar 

  6. Cantlie J. On a new arrangement of the right and left lobes of liver. J Anat Physiol (Lond). 1898;32:4–9.

    Google Scholar 

  7. Couinaud C. Etudes anatomiques et chirurgicales. Paris: Masson; 1957.

    Google Scholar 

  8. Bismuth H. Anatomical surgery and surgical anatomy of the liver. World J Surg. 1982;6:3–9.

    Article  PubMed  CAS  Google Scholar 

  9. Scheele J. Segment-oriented liver resection. Principles–technic–status. Chirurg. 1989;60:251–65.

    Google Scholar 

  10. Scheele J, Stangl R. Chapter 86: Segment-oriented anatomical liver resection. In: Blumgart L, Fong Y, editors. Surgery of the liver and biliary tract. 3rd ed. London: WB Saunders; 2000. p. 1743–63.

    Google Scholar 

  11. Lau WY. Chapter 6: Intrahepatic Glissionian triad: anatomy relevant to liver resection and liver transplantation. In: Applied anatomy in liver resection. People’s Medical Publishing House, China. 2010. p. 45–59.

    Google Scholar 

  12. Strasberg SM. Nomenclature of hepatic anatomy and resections: a review of the Brisbane 2000 system. J Hepatobiliary Pancreat Surg. 2005;12:351–5.

    Article  PubMed  Google Scholar 

  13. Billingsley KG, Jarnagin WR, Fong Y, Blumgart LH. Segment-oriented hepatic resection in the management of malignant neoplasms of the liver. J Am Coll Surg. 1998;187(5):471–81.

    Article  PubMed  CAS  Google Scholar 

  14. Takayama T, Nakatsuka T, Shimada K, Yamamoto J, Kosuge T, Yamasaki S, Hirai Y, Makuuchi M. Function-preserving segmentectomy of the cirrhotic liver. Hepatogastroenterology. 1995;42:415–7.

    PubMed  CAS  Google Scholar 

  15. Lau WY. Primary liver tumors. Semin Surg Oncol. 2000;19:135–44.

    Article  PubMed  CAS  Google Scholar 

  16. Lau WY. Management of hepatocellular carcinoma. J R Coll Surg Edinb. 2002;47:389–99.

    PubMed  CAS  Google Scholar 

  17. Lai EC, Lau WY. The continuing challenge of hepatic cancer in Asia. Surgeon. 2005;3:210–5.

    Article  PubMed  CAS  Google Scholar 

  18. Makuuchi M. Surgical treatment for HCC—special reference to anatomical resection. Int J Surg. 2013;11 Suppl 1:S47–9.

    Article  PubMed  Google Scholar 

  19. Regimbeau JM, Kianmanesh R, Farges O, Dondero F, Sauvanet A, Belghiti J. Extent of liver resection influences the outcome in patients with cirrhosis and small hepatocellular carcinoma. Surgery. 2002;131:311–7.

    Article  PubMed  Google Scholar 

  20. Hasegawa K, Kokudo N, Imamura H, Matsuyama Y, Aoki T, Minagawa M, Sano K, Sugawara Y, Takayama T, Makuuchi M. Prognostic impact of anatomic resection for hepatocellular carcinoma. Ann Surg. 2005;242:252–9.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Yamamoto M, Ariizumi S, Katagiri S, Kotera Y, Takahashi Y. The value of anatomical liver sectionectomy for patients with a solitary hepatocellular carcinoma from 2 to 5 cm in greatest diameter. J Surg Oncol. 2009;100:585–8.

    Article  PubMed  Google Scholar 

  22. Ochiai T, Ikoma H, Yamamoto Y, Konishi H, Murayama Y, Shiozaki A, Komatsu S, Kuriu Y, Kubota T, Nakanishi M, Ichikawa D, Fujiwara H, Okamoto K, Otsuji E. Anatomical hepatectomy for hepatocellular carcinoma in patients with preserved liver function. Anticancer Res. 2013;33:1689–95.

    PubMed  Google Scholar 

  23. Sasaki K, Matsuda M, Ohkura Y, Hashimoto M, Watanabe G. Anatomical versus nonanatomical resection in patients with hepatocellular carcinoma located in the left lateral segment. Am Surg. 2013;79:1163–70.

    PubMed  Google Scholar 

  24. Kang CM, Choi GH, Kim DH, Choi SB, Kim KS, Choi JS, Lee WJ. Revisiting the role of nonanatomic resection of small (< or = 4 cm) and single hepatocellular carcinoma in patients with well-preserved liver function. J Surg Res. 2010;160:81–9.

    Article  PubMed  Google Scholar 

  25. Tomimaru Y, Eguchi H, Marubashi S, Wada H, Kobayashi S, Tanemura M, Umeshita K, Doki Y, Mori M, Nagano H. Equivalent outcomes after anatomical and non-anatomical resection of small hepatocellular carcinoma in patients with preserved liver function. Dig Dis Sci. 2012;57:1942–8.

    Article  PubMed  Google Scholar 

  26. Yamamoto Y, Ikoma H, Morimura R, Konishi H, Murayama Y, Komatsu S, Shiozaki A, Kuriu Y, Kubota T, Nakanishi M, Ichikawa D, Fujiwara H, Okamoto K, Sakakura C, Ochiai T, Otsuji E. Clinical analysis of anatomical resection for the treatment of hepatocellular carcinoma based on the stratification of liver function. World J Surg. 2014;38:1154–63.

    Article  PubMed  Google Scholar 

  27. Okamura Y, Ito T, Sugiura T, Mori K, Uesaka K. Anatomic versus nonanatomic hepatectomy for a solitary hepatocellular carcinoma: a case-controlled study with propensity score matching. J Gastrointest Surg. 2014;18:1994–2002.

    Article  PubMed  Google Scholar 

  28. Marubashi S, Gotoh K, Akita H, Takahashi H, Sugimura K, Miyoshi N, Motoori M, Kishi K, Noura S, Fujiwara Y, Ohue M, Nakazawa T, Nakanishi K, Ito Y, Yano M, Ishikawa O, Sakon M. Analysis of recurrence patterns after anatomical or non-anatomical resection for hepatocellular carcinoma. Ann Surg Oncol. 2015;22(7):2243–52.

    Article  PubMed  Google Scholar 

  29. DeMatteo RP, Palese C, Jarnagin WR, Sun RL, Blumgart LH, Fong Y. Anatomic segmental hepatic resection is superior to wedge resection as an oncologic operation for colorectal liver metastases. J Gastrointest Surg. 2000;4:178–84.

    Article  PubMed  CAS  Google Scholar 

  30. Kokudo N, Tada K, Seki M, Ohta H, Azekura K, Ueno M, Matsubara T, Takahashi T, Nakajima T, Muto T. Anatomical major resection versus nonanatomical limited resection for liver metastases from colorectal carcinoma. Am J Surg. 2001;181:153–9.

    Article  PubMed  CAS  Google Scholar 

  31. Zorzi D, Mullen JT, Abdalla EK, Pawlik TM, Andres A, Muratore A, Curley SA, Mentha G, Capussotti L, Vauthey JN. Comparison between hepatic wedge resection and anatomic resection for colorectal liver metastases. J Gastrointest Surg. 2006;10:86–94.

    Article  PubMed  Google Scholar 

  32. Lalmahomed ZS, Ayez N, van der Pool AE, Verheij J, IJzermans JN, Verhoef C. Anatomical versus nonanatomical resection of colorectal liver metastases: is there a difference in surgical and oncological outcome? World J Surg. 2011;35:656–61.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Yamanaka J, Saito S, Fujimoto J. Impact of preoperative planning using virtual segmental volumetry on liver resection for hepatocellular carcinoma. World J Surg. 2007;31:1249–55.

    Article  PubMed  Google Scholar 

  34. Takamoto T, Hashimoto T, Ogata S, Inoue K, Maruyama Y, Miyazaki A, Makuuchi M. Planning of anatomical liver segmentectomy and subsegmentectomy with 3-dimensional simulation software. Am J Surg. 2013;206:530–8.

    Article  PubMed  Google Scholar 

  35. Ariizumi S, Takahashi Y, Kotera Y, Omori A, Yoneda G, Mu H, Katagiri S, Egawa H, Yamamoto M. Novel virtual hepatectomy is useful for evaluation of the portal territory for anatomical sectionectomy, segmentectomy, and hemihepatectomy. J Hepatobiliary Pancreat Sci. 2013;20:396–402.

    Article  PubMed  Google Scholar 

  36. Takasaki K. Glissonian pedicle transection method of hepatic resections. Tokyo: Springer; 2007.

    Google Scholar 

  37. Lau WY, Leung KL, Lee TW, Li AK. Ultrasonography during liver resection for hepatocellular carcinoma. Br J Surg. 1993;80:493–4.

    Article  PubMed  CAS  Google Scholar 

  38. Ahn KS, Kang KJ, Park TJ, Kim YH, Lim TJ, Kwon JH. Benefit of systematic segmentectomy of the hepatocellular carcinoma: revisiting the dye injection method for various portal vein branches. Ann Surg. 2013;258:1014–21.

    Article  PubMed  Google Scholar 

  39. Castaing D, Garden OJ, Bismuth H. Segmental liver resection using ultrasound-guided selective portal venous occlusion. Ann Surg. 1989;210:20–3.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  40. Torzilli G, Donadon M, Cimino M, Del Fabbro D, Procopio F, Botea F. Systematic subsegmentectomy by ultrasound-guided finger compression for hepatocellular carcinoma in cirrhosis. Ann Surg Oncol. 2009;16:1843.

    Article  PubMed  Google Scholar 

  41. Torzilli G, Procopio F, Cimino M, Del Fabbro D, Palmisano A, Donadon M, Montorsi M. Anatomical segmental and subsegmental resection of the liver for hepatocellular carcinoma: a new approach by means of ultrasound-guided vessel compression. Ann Surg. 2010;251:229–35.

    Article  PubMed  Google Scholar 

  42. Inoue Y, Arita J, Sakamoto T, Ono Y, Takahashi M, Takahashi Y, Kokudo N, Saiura A. Anatomical liver resections guided by 3-dimensional parenchymal staining using fusion indocyanine green fluorescence imaging. Ann Surg. 2015;262(1):105–11.

    Article  PubMed  Google Scholar 

  43. Chen H, Wang F, Deng F, Zhen Z, Lai EC, Lau WY. Laparoscopic right hemihepatic vascular inflow occlusion by lowering of the hilar plate. J Laparoendosc Adv Surg Tech A. 2014;24:833–6.

    Article  PubMed  Google Scholar 

  44. Machado MA, Herman P, Figueira ER, Bacchella T, Machado MC. Intrahepatic Glissonian access for segmental liver resection in cirrhotic patients. Am J Surg. 2006;192:388–92.

    Article  PubMed  Google Scholar 

  45. Machado MA, Herman P, Machado MC. A standardized technique for right segmental liver resections. Arch Surg. 2003;138:918–20.

    Article  PubMed  Google Scholar 

  46. Hu JX, Dai WD, Miao XY, Zhong DW, Huang SF, Wen Y, Xiong SZ. Anatomic resection of segment VIII of liver for hepatocellular carcinoma in cirrhotic patients based on an intrahepatic Glissonian approach. Surgery. 2009;146:854–60.

    Article  PubMed  Google Scholar 

  47. Ou JR, Chen W, Lau WY. A new technique of hepatic segmentectomy by selective portal venous occlusion using a balloon catheter through a branch of the superior mesenteric vein. World J Surg. 2007;31:1240–2.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong SAR, China

    Eric C. H. Lai MB ChB, MRCS(Ed), FRACS

  2. Department of Surgery, Queen Elizabeth Hospital, Kowloon, Hong Kong SAR, China

    Stephanie H. Y. Lau MB ChB, MRCS(Ed), FRCS

  3. Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China

    Wan Yee Lau DSc, FRCS(Ed, Eng, Glasg)

Authors
  1. Eric C. H. Lai MB ChB, MRCS(Ed), FRACS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Stephanie H. Y. Lau MB ChB, MRCS(Ed), FRCS
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wan Yee Lau DSc, FRCS(Ed, Eng, Glasg)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Wan Yee Lau DSc, FRCS(Ed, Eng, Glasg) .

Editor information

Editors and Affiliations

  1. Department of Surgery, West China Hospital, Chengdu, China

    Lunan Yan

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Lai, E.C.H., Lau, S.H.Y., Lau, W.Y. (2016). Anatomical Liver Resection. In: Yan, L. (eds) Operative Techniques in Liver Resection. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7411-6_13

Download citation

  • DOI: https://doi.org/10.1007/978-94-017-7411-6_13

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-7409-3

  • Online ISBN: 978-94-017-7411-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation