This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (47)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Charles H. Andrus, MD; Donald L. Kaminski, MD

Arch Surg. 1986;121(5):515-521.

Abstract
• Hepatic resection continues to become a more widely accepted therapeutic modality, with increased use as improved imaging modalities more precisely define the nature and extent of various liver abnormalities. The surgical anatomy of the liver indicates that there are eight segments with single or multiple segmental resections able to be performed. The use of the ultrasonic dissector facilitates the performance of transparenchymatous segmental resection without obtaining vascular inflow or outflow control. This report describes the segmental anatomy of the liver and the use of the ultrasonic dissector. Thirteen patients have undergone segmental hepatic resection with the ultrasonic dissector. Five patients had cirrhosis. Mean±1 SD operative time required for segmental resection was 128±57 minutes, and blood loss was 830 ±623 mL. Utilization of the ultrasonic dissector to perform segmental hepatic resection may increase our versatility in the management of various hepatic and biliary tract diseases.

(Arch Surg 1986;121:515-521)

Author Affiliations
From the Department of Surgery, St Louis University.

Footnotes
Accepted for publication Feb 11, 1986.

Read before the 93rd annual meeting of the Western Surgical Association, Rochester, Minn, Nov 19, 1985.

Reprint requests to Department of Surgery, St Louis University Medical Center, 1325 S Grand Blvd, St Louis, MO 63104 (Dr Kaminski).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A Thoracoabdominal Hepatectomy and a Transdiaphragmatic Hepatectomy for Patients With Cirrhosis and Hepatocellular Carcinoma
Takenaka et al.
Arch Surg 1998;133:80-83.
ABSTRACT | FULL TEXT  

Results of 280 Liver Resections for Hepatocellular Carcinoma
Takenaka et al.
Arch Surg 1996;131:71-76.
ABSTRACT  

A New Approach for Liver Surgery: Transdiaphragmatic Hepatectomy for Cirrhotic Patients With Hepatocellular Carcinoma
Shimada et al.
Arch Surg 1995;130:157-160.
ABSTRACT  

Liver Resection for Hepatocellular Carcinoma in the Elderly
Takenaka et al.
Arch Surg 1994;129:846-850.
ABSTRACT  

Improved Early Results of Elective Hepatic Resection for Liver Tumors: One Hundred Consecutive Hepatectomies in Cirrhotic and Noncirrhotic Patients
Franco et al.
Arch Surg 1989;124:1033-1037.
ABSTRACT  

Segmentectomies in the Management of Liver Tumors
Franco et al.
Arch Surg 1988;123:519-522.
ABSTRACT