Adjuncts to Liver Resection

  • Ragini Kilambi
  • Senthil Kumar
Part of the GI Surgery Annual book series (GISA, volume 25)


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.


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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Copyright information

© Indian Association of Surgical Gastroenterology 2019

Authors and Affiliations

  • Ragini Kilambi
    • 1
  • Senthil Kumar
    • 1
  1. 1.Institute of Liver and Biliary SciencesNew DelhiIndia

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