[Definition of surgical degree of freedom by functional anatomy in liver resection surgery].
Liver resections have developed to very complex and differentiated operations, clearly adapted to individual anatomical and physiological conditions. In parallel, perioperative morbidity has been dramatically reduced. Intraoperative strict consideration of various details of hepatic anatomy, particularly of functional liver anatomy, has proved to be of particular importance when liver surgery reaches indication and technical limits. The term "functional anatomy" stands for a form of hepatic substructurization, which is primarily based on the existence of hemodynamically independent regions of liver parenchyma. A selection of some of the most important details and facts of functional liver anatomy and secondary derived guidelines for surgical strategy and technique is presented in an overview, with special focus on liver resection.
Kraus
T W
TW
Chirurgische Universitätsklinik, Heidelberg. Thomas.Kraus@med.uni-heidelberg.de
Golling
M
M
Klar
E
E
D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000098:blood supply; D008113:Liver Neoplasms / Q000098:blood supply / Q000601:surgery*; D011379:Prognosis; D012039:Regional Blood Flow / Q000502:physiology