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Segmentectomies (Chapters 26–34): A Foreword

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Minimally Invasive Surgery of the Liver

Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

In 1957, Couinaud published his fundamental paper on the surgical anatomy of the liver [1], describing the eight segments, everyone with its pedicle: artery, portal vein, and bile duct. Since then, every liver surgeon has referred to it as a bible to be followed during routine surgical practice. Only with the experience with liver transplantation in the mid-1990s was splitting segment 1 into two sections suggested, identifying the portion of segment 1 on the right side of the caval vein as segment 9 [2]. This was only a minor modification of the original classification. Since the rapid spread of liver surgery in the 1970s, several authors have suggested technical tricks to remove the entire segment by sectioning the tributary pedicle [3–5].

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References

  1. Couinaud C (1957) Fr Le foie, etude anatomiques et chirurgicales. Masson, Paris

    Google Scholar 

  2. Couinaud C (1994) Surgical approach to the dorsal section of the liver. Chirurgie 119(9):485–488

    CAS  Google Scholar 

  3. Iwamoto S, Sanefuji H, Okuda K (2003) Angiographic subsegmentectomy for the treatment of patients with small hepatocellular carcinoma. Cancer 97(4):1051–1056

    Article  PubMed  Google Scholar 

  4. Tanaka K, Shimada H, Matsumoto C et al (2008) Anatomic versus limited non-anatomic resection for solitary hepatocellular carcinoma. Surgery 143(5):607–615

    Article  PubMed  Google Scholar 

  5. Torzilli G, Procopio F, Cimino M et al (2010) Anatomical segmental and subsegmental resection of the liver for hepatocellular carcinoma: a new approach by means of ultrasound-guided vessel compression. Ann Surg 251:229–235

    Article  PubMed  Google Scholar 

  6. Pawlik TM, Scoggins CS, Zorzi D et al (2005) Effect of surgical margin status on survival and site of recurrence after hepatic resection for colorectal metastases. Ann Surg 241(5):715–724

    Article  PubMed  Google Scholar 

  7. Muratore A, Ribero D, Zimmitti G et al (2010) Resection margin and recurrence-free survival after liver resection of colorectal metastases. Ann Surg Oncol 17(5):1324–1329

    Article  PubMed  Google Scholar 

  8. Torzilli G, Montorsi M, Del Fabbro D et al (2006) Ultrasonographically guided surgical approach to liver tumours involving the hepatic veins close to the caval confluence. Br J Surg 93:1238–1246

    Article  PubMed  CAS  Google Scholar 

  9. Torzilli G, Botea F, Donadon M et al (2010) Minimesohepatectomy for colorectal liver metastasis invading the middle hepatic vein at the hepatocaval confluence. Ann Surg Oncol 17:483

    Article  PubMed  Google Scholar 

  10. Dahiya D, Wu TJ, Lee CF et al (2010) Minor versus major hepatic resection for small hepatocellular carcinoma (HCC) in cirrhotic patients: a 20-year experience. Surgery 147:676–685

    Article  PubMed  Google Scholar 

  11. Matsui Y, Terakawa N, Satoi S et al (2007) Postoperative outcomes in patients with hepatocellular carcinomas resected with exposure of the tumor surface: clinical role of the no-margin resection. Arch Surg 142:596–602

    Article  PubMed  Google Scholar 

  12. Torzilli G, Donadon M, Cimino M et al (2009) Systematic subsegmentectomy by ultrasoundguided finger compression for hepatocellular carcinoma in cirrhosis. Ann Surg Oncol 16(7):1843

    Article  PubMed  Google Scholar 

  13. Nguyen KT, Gamblin TC, Geller DA (2009) World review of laparoscopic liver resection-2,804 patients. Ann Surg 250(5)831–841

    Article  PubMed  Google Scholar 

  14. Kaneko H, Otsuka Y, Takagi S et al (2004) Hepatic resection using stapling devices. Am J Surg 187:280–284

    Article  PubMed  Google Scholar 

  15. Gumbs AA, Gayet B, Gagner M (2008) Laparoscopic liver resection: when to use the laparoscopic stapler device. HPB (Oxford) 10(4):296–303

    Article  Google Scholar 

  16. Lee KF, Cheung YS, Chong CN, Tsang Y, Ng W, Ling E et al (2007) Laparoscopic vs. open hepatectomy for liver tumours: a case control study. Hong Kong Med J 13:442–448

    PubMed  CAS  Google Scholar 

  17. Simillis C, Constantinides VA, Tekkis PP, Darzi A, Lovegrove R, Jiao L et al (2007) Laparoscopic vs. open hepatic resections for benign and malignant neoplasms: a meta-analysis. Surgery 141:203–211

    Article  PubMed  Google Scholar 

  18. Topal B, Fieuws S, Aerts R, Vandeweyer H, Penninckx F (2008) Laparoscopic vs. open liver resection of hepatic neoplasms: comparative analysis of short term results. Surg Endosc 22:2208–2213

    Article  PubMed  CAS  Google Scholar 

  19. Tsinberg M, Tellioglu G, Simpfendorfer CH et al (2009) Comparison of laparoscopic vs. open liver tumor resection: a case-controlled study. Surg Endosc 23:847–853

    Article  PubMed  Google Scholar 

  20. Abu Hilal MA, McPhail MJW, Zeidan B et al (2008) Laparoscopic vs. open left lateral sectionectomy: a comparative study. Eur J Surg Oncol 34:1285–1288

    Article  PubMed  CAS  Google Scholar 

  21. Aldrighetti L, Pulitano C, Catena M et al (2008) A prospective evaluation of laparoscopic vs. open left lateral sectionectomy. J Gastrointest Surg 12:457–462

    Article  PubMed  Google Scholar 

  22. McPhail MJ, Scibelli T, Abdelaziz M et al (2009) Laparoscopic vs. open left lateral hepatectomy. Expert Rev Gastroenterol Hepatol 3:345–351

    Article  PubMed  Google Scholar 

  23. Kazaryan AM, Røsok BI, Marangos IP et a (2011) Comparative evaluation of laparoscopic liver resection for posterosuperior and anterolateral segments. Surg Endosc 25(12):3881–3389

    Article  PubMed  Google Scholar 

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Correspondence to Fulvio Calise .

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Calise, F. (2013). Segmentectomies (Chapters 26–34): A Foreword. In: Calise, F., Casciola, L. (eds) Minimally Invasive Surgery of the Liver. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2664-3_25

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  • DOI: https://doi.org/10.1007/978-88-470-2664-3_25

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2663-6

  • Online ISBN: 978-88-470-2664-3

  • eBook Packages: MedicineMedicine (R0)

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