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Hepatic Lobectomy

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Encyclopedia of Intensive Care Medicine
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Synonyms

Anatomic resection; Hemihepatectomy

Definition

A basic understanding of hepatic anatomy is necessary for the management of primary hepatic and biliary tract cancers, as well as the management of metastatic disease to the liver. On the most elementary level the liver can be divided into two parts or lobes: the right and the left lobe. In 1898, Cantlie described the functional anatomy of the liver, dividing the left and right lobe by an imaginary line that can be drawn from the gallbladder bed to the vena cava. The left lobe is further divided into a medial and lateral segment by the falciform ligament. Most surgeons choose to further characterize hepatic anatomy by the eight Couinaud’s segments which have a separate pedicle consisting of a hepatic arterial branch, a portal venous branch, and a draining biliary branch. The caudate lobe is segment 1 with the left lobe or the liver consisting of segments 2, 3, 4a, and 4b with the falciform ligament dividing segments 2 and 3 from...

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References

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© 2012 Springer-Verlag Berlin Heidelberg

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Barnett, C.C. (2012). Hepatic Lobectomy. In: Vincent, JL., Hall, J.B. (eds) Encyclopedia of Intensive Care Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00418-6_426

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  • DOI: https://doi.org/10.1007/978-3-642-00418-6_426

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-00417-9

  • Online ISBN: 978-3-642-00418-6

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