SlideShare une entreprise Scribd logo
1  sur  74
 
 
 
[object Object]
Any one of the eight anatomical segments can be removed individually (by “segmentectomy”). The “surgical” segments of the liver are agglomeration of anatomical segments; Thus “surgical” segments might preferably be called “sectors”. Ronald A. Malt. N.Engl.J.Medic. 1985
Glisson’s Capsule and Hepatic Trinity ,[object Object]
[object Object]
 
 
 
A. The Intrafascial or Hilar Approach 1952 (Lortat-Jacob) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
B. The Extrafascial Approach 1957 (Couinaud) ,[object Object],[object Object],[object Object],[object Object]
 
 
C. The Extrafascial  and Transfissural Approach ,[object Object],[object Object]
 
Posterior approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
Posterior Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Controversies I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Controversies II ,[object Object]
Controversies III ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Controversies IV ,[object Object],[object Object],[object Object],[object Object]
Indications for Posterior Approach ,[object Object],[object Object]
Technical Indications of Posterior Approach ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
Segmentectomies of the Right Liver ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
One Contraindication to the Posterior Approach: ,[object Object]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Segmentectomy of the Caudate lobe (Segment I) ,[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
Oncological Indications for the Posterior Approach ,[object Object],[object Object],[object Object]
Klatskin Tumour ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Liver Metastases ,[object Object],[object Object],[object Object],[object Object]
 
 
Primary Liver cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liver Resections
Conclusions I ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions II ,[object Object],[object Object],[object Object],[object Object]

Contenu connexe

Tendances

Esophaegeal resection & reconstruction
Esophaegeal resection & reconstructionEsophaegeal resection & reconstruction
Esophaegeal resection & reconstruction
Saeed Al-Shomimi
 
Segmentaci N Hep Tica2
Segmentaci N Hep Tica2Segmentaci N Hep Tica2
Segmentaci N Hep Tica2
alexisdieser
 
Anatomia Quirurgica Higado
Anatomia Quirurgica HigadoAnatomia Quirurgica Higado
Anatomia Quirurgica Higado
guesteac713
 
radiology.Urinary tract lecture 2.(dr.nasr)
radiology.Urinary tract lecture 2.(dr.nasr)radiology.Urinary tract lecture 2.(dr.nasr)
radiology.Urinary tract lecture 2.(dr.nasr)
student
 

Tendances (20)

Bile duct injuries
Bile duct injuriesBile duct injuries
Bile duct injuries
 
Esophaegeal resection & reconstruction
Esophaegeal resection & reconstructionEsophaegeal resection & reconstruction
Esophaegeal resection & reconstruction
 
Gall bladder & biliary tract anomalies and variants
Gall bladder & biliary tract  anomalies and variantsGall bladder & biliary tract  anomalies and variants
Gall bladder & biliary tract anomalies and variants
 
Segmentaci N Hep Tica2
Segmentaci N Hep Tica2Segmentaci N Hep Tica2
Segmentaci N Hep Tica2
 
Giant Duodenal perforation Management.pptx
Giant Duodenal perforation Management.pptxGiant Duodenal perforation Management.pptx
Giant Duodenal perforation Management.pptx
 
topographic anatomy Abdomen
topographic anatomy  Abdomentopographic anatomy  Abdomen
topographic anatomy Abdomen
 
Liver failure after major hepatic resection.pptx
Liver failure after major hepatic resection.pptxLiver failure after major hepatic resection.pptx
Liver failure after major hepatic resection.pptx
 
Gastrointestinal Pathology
Gastrointestinal  PathologyGastrointestinal  Pathology
Gastrointestinal Pathology
 
Surgical anatomy of hepatobiliary system by biswajit deka
Surgical    anatomy   of hepatobiliary   system by biswajit dekaSurgical    anatomy   of hepatobiliary   system by biswajit deka
Surgical anatomy of hepatobiliary system by biswajit deka
 
Cbd injuries
Cbd injuriesCbd injuries
Cbd injuries
 
anatomy of liver
anatomy of liveranatomy of liver
anatomy of liver
 
SURGICAL ANATOMY
SURGICAL ANATOMYSURGICAL ANATOMY
SURGICAL ANATOMY
 
LIVER ANATOMY
LIVER ANATOMY LIVER ANATOMY
LIVER ANATOMY
 
Anatomia Quirurgica Higado
Anatomia Quirurgica HigadoAnatomia Quirurgica Higado
Anatomia Quirurgica Higado
 
radiology.Urinary tract lecture 2.(dr.nasr)
radiology.Urinary tract lecture 2.(dr.nasr)radiology.Urinary tract lecture 2.(dr.nasr)
radiology.Urinary tract lecture 2.(dr.nasr)
 
Laparoscopic anatomy of inguinal canal
Laparoscopic anatomy of inguinal canalLaparoscopic anatomy of inguinal canal
Laparoscopic anatomy of inguinal canal
 
Choledochal cyst
Choledochal cystCholedochal cyst
Choledochal cyst
 
Surgical anatomy of liver
Surgical anatomy of liverSurgical anatomy of liver
Surgical anatomy of liver
 
Anatomical liver resection
Anatomical liver resectionAnatomical liver resection
Anatomical liver resection
 
Mirizzi syndrome history, present and
Mirizzi syndrome history, present andMirizzi syndrome history, present and
Mirizzi syndrome history, present and
 

Similaire à 12

Trocar/Port Placement for the Procedure: General Strategies
Trocar/Port Placement for the Procedure: General StrategiesTrocar/Port Placement for the Procedure: General Strategies
Trocar/Port Placement for the Procedure: General Strategies
George S. Ferzli
 
Laparoscopic Trocar Placement
Laparoscopic Trocar PlacementLaparoscopic Trocar Placement
Laparoscopic Trocar Placement
George S. Ferzli
 
Surgical terminology and types of surgical interventions.pptx
Surgical terminology and types of surgical interventions.pptxSurgical terminology and types of surgical interventions.pptx
Surgical terminology and types of surgical interventions.pptx
MirkoTodic
 

Similaire à 12 (20)

terminology of liver resections.pptx
terminology of liver resections.pptxterminology of liver resections.pptx
terminology of liver resections.pptx
 
Laparoscopic intrahepatic Glissonian technique for liver surgery. Hepatectomi...
Laparoscopic intrahepatic Glissonian technique for liver surgery. Hepatectomi...Laparoscopic intrahepatic Glissonian technique for liver surgery. Hepatectomi...
Laparoscopic intrahepatic Glissonian technique for liver surgery. Hepatectomi...
 
Segemental anatomy of liver
Segemental anatomy of liverSegemental anatomy of liver
Segemental anatomy of liver
 
PHẪU THUẬT CẮT GAN TẠI KHOA NGOẠI TỔNG QUÁT, BỆNH VIỆN KIÊN GIANG.pptx
PHẪU THUẬT CẮT GAN TẠI KHOA NGOẠI TỔNG QUÁT, BỆNH VIỆN KIÊN GIANG.pptxPHẪU THUẬT CẮT GAN TẠI KHOA NGOẠI TỔNG QUÁT, BỆNH VIỆN KIÊN GIANG.pptx
PHẪU THUẬT CẮT GAN TẠI KHOA NGOẠI TỔNG QUÁT, BỆNH VIỆN KIÊN GIANG.pptx
 
23.surgical diseases of the liver
23.surgical diseases of the liver23.surgical diseases of the liver
23.surgical diseases of the liver
 
Trocar/Port Placement for the Procedure: General Strategies
Trocar/Port Placement for the Procedure: General StrategiesTrocar/Port Placement for the Procedure: General Strategies
Trocar/Port Placement for the Procedure: General Strategies
 
Caudate lobe resection by Dr Harsh Shah(www.gastroclinix.com)
Caudate lobe resection by Dr Harsh Shah(www.gastroclinix.com)Caudate lobe resection by Dr Harsh Shah(www.gastroclinix.com)
Caudate lobe resection by Dr Harsh Shah(www.gastroclinix.com)
 
Accessories digestive glands
Accessories digestive glandsAccessories digestive glands
Accessories digestive glands
 
Surgical management of pheochromocytoma
Surgical management of pheochromocytomaSurgical management of pheochromocytoma
Surgical management of pheochromocytoma
 
Congenital bile duct anomalies
Congenital bile duct anomaliesCongenital bile duct anomalies
Congenital bile duct anomalies
 
MRI Abdomen ( Dynamic Study - Tri-phasic of Liver )
MRI Abdomen ( Dynamic Study - Tri-phasic of Liver )MRI Abdomen ( Dynamic Study - Tri-phasic of Liver )
MRI Abdomen ( Dynamic Study - Tri-phasic of Liver )
 
Cholecystectomy
CholecystectomyCholecystectomy
Cholecystectomy
 
1.Antomy and physiology of liver by worku.pptx
1.Antomy and physiology of liver by worku.pptx1.Antomy and physiology of liver by worku.pptx
1.Antomy and physiology of liver by worku.pptx
 
Gross anatomy and histology of extrahepatic biliary apparatus
Gross anatomy and histology of extrahepatic biliary apparatusGross anatomy and histology of extrahepatic biliary apparatus
Gross anatomy and histology of extrahepatic biliary apparatus
 
Bladder cancer surgery
Bladder cancer surgeryBladder cancer surgery
Bladder cancer surgery
 
Laparoscopic Trocar Placement
Laparoscopic Trocar PlacementLaparoscopic Trocar Placement
Laparoscopic Trocar Placement
 
Causes and management of long ureteral defect
Causes and management of long ureteral defectCauses and management of long ureteral defect
Causes and management of long ureteral defect
 
Liver.pdf
Liver.pdfLiver.pdf
Liver.pdf
 
Anatomy of Liver Presentation
Anatomy of Liver PresentationAnatomy of Liver Presentation
Anatomy of Liver Presentation
 
Surgical terminology and types of surgical interventions.pptx
Surgical terminology and types of surgical interventions.pptxSurgical terminology and types of surgical interventions.pptx
Surgical terminology and types of surgical interventions.pptx
 

Plus de fundeni (20)

31
3131
31
 
29
2929
29
 
25
2525
25
 
22
2222
22
 
20
2020
20
 
34
3434
34
 
33
3333
33
 
32
3232
32
 
30
3030
30
 
28
2828
28
 
27
2727
27
 
26
2626
26
 
24
2424
24
 
23
2323
23
 
21
2121
21
 
19
1919
19
 
18
1818
18
 
11
1111
11
 
9
99
9
 
8
88
8
 

Dernier

👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
rajnisinghkjn
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Sheetaleventcompany
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Sheetaleventcompany
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
Sheetaleventcompany
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Sheetaleventcompany
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
jualobat34
 

Dernier (20)

Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
 

12