PubMed · 5777729
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J M Gentile, L D MacLean. 1969. Improved technic for human hepatic resection.. https://doi.org/10.1016/0002-9610(69)90384-5
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This article reviews the segmental anatomy of the liver, which is the basis of modern hepatic surgery. Liver regeneration and the factors affecting liver volumes and the pathophysiology of the atrophy-hypertrophy complex are discussed. Benign and malignant focal liver lesions are reviewed from a surgeon's perspective. Finally, an imaging strategy is proposed and treatment options outlined.
The segmental localization of liver tumors is critical to planning appropriate resection. Couinaud's nomenclature is a surgically relevant system of hepatic segmental anatomy, which defines the liver segments by their relationships to vascular structures, hepatic ligaments, and the gallbladder. We demonstrate a way to accurately localize hepatic masses with sonography.