Chapter 1

Surgical Anatomyof the Liver

Renato Micelli Lupinacci, Silvio Marcio Pegoraro Balzan and Paulo Herman

Abstract

• The morphologic anatomy of the liver, based on superficial landmarks, has been replaced by functional anatomy, which is more appropriate for liver surgery. </p><p> • The liver is divided according to portal pedicles and hepatic veins. Cantlie’s line(where the middle hepatic vein is located) divides the liver in right and left hemilivers.</p><p> • The right hemiliver is divided in anterior (segments 5 and 8) and posterior (segments 6 and 7) sectors by a plan where the right hepatic vein is located.</p><p> • The left hemiliver is divided in medial (segment 4) and lateral (segments 2 and 3)sectors.</p><p> • Segment 1 corresponds to the caudate lobe, located around the vena cava.</p><p> • Vascular and biliary variations are very frequent and they have significant implications on liver resections and/or transplantation.

Total Pages: 1-16 (16)

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