Madhusudhanan Jegadeesan1* and Ramprasad Jegadeesan2
1Hepatopancreaticobiliary and Liver Transplant Surgery Unit, Apollo Speciality Hospitals, Madurai, Tamilnadu, India
2Department of Gastroenterology, Southern Illinois University, IL, USA
*Corresponding Author: Madhusudhanan Jegadeesan, Consultant, Hepatopancreaticobiliary and Liver Transplant Surgery Unit, Apollo Speciality Hospitals, Madurai, Tamil Nadu, India.
Received: September 04, 2020; Published: November 25, 2020
Essential to successful and safe performance of any liver resection is the understanding of anatomical aspects pertaining to liver resection. The different approaches to liver resections reflect the different techniques and surgical maneuvers executed at specific anatomical regions in and around liver. The three approaches to liver resection, as put forth by Claude Couinaud, are the intrafascial, extrafascial and the extrafascial transfissural approach. The later two approaches are essentially dissection of Glissonean pedicles at the hilum of the liver. This Glissonean pedicle approach is facilitated by newer insights into anatomy of liver gained by modern pathological and surgical research. The Glissonean pedicle approach is safe as it achieves inflow control early in the process of liver resection and ontologically sound as it is an anatomical approach. It is also effective when employed during minimally invasive liver resections. Both intrafascial and extrafascial approaches are relevant in specific circumstances of liver resection. This chapter will specifically analyse the anatomical basis that surrounds the approaches to liver resection.
Keywords: Anatomical Hepatectomy; Glissonean Pedicle; Leannec Capsule; Major Hepatectomy; Limited Resection
Citation: Madhusudhanan Jegadeesan and Ramprasad Jegadeesan. "Anatomical Basis of Approaches to Liver Resection". Acta Scientific Gastrointestinal Disorders 3.12 (2020): 17-23.
Copyright: © 2020 Madhusudhanan Jegadeesan and Ramprasad Jegadeesan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.