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A Passion for the Liver

Arch Surg. 2002;137:1305-1310.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

CLAUDE COUINAUD is a French surgeon and anatomist who made significant contributions in the field of hepatobiliary surgery. He performed detailed anatomic studies of the liver and was the first to describe its segmental anatomy. He developed the concept of plates and vasculobiliary sheaths of the liver, and performed the first "controlled" hepatectomy by isolating and dividing the Glissonian sheaths going into the liver, prior to parenchymal dissection. He also performed the first biliary bypass to the left hepatic duct and the first "segment III bypass." His book Le Foie: Etudes Anatomique et Chirurgicales stands as the seminal work on hepatobiliary surgery and anatomy of the 20th century.

Liver surgery is largely an anatomic exercise. The major advances that have occurred in the last half century have been greatly aided by our improved understanding of intrahepatic anatomy. Claude Couinaud (Figure 1) stands out among many who have contributed . . . [Full Text of this Article]

EARLY STUDIES

SEGMENTAL ANATOMY

HEPATIC VEINS

VASCULOBILIARY SHEATHS

"CONTROLLED" HEPATECTOMY

BILIARY BYPASS

LE FOIE

LATER WORK

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