Question:
What are classes of hepatic resection? What is the extent?
Author: H KAnswer:
Hepatic resections are classified as : Anatomical (based on the segmental liver anatomy) . Nonanatomical (Wedge resections,enucleations, and resectional debridement of devitalized tissue) Anatomical resections are preferred because: lower blood loss. lower incidence of positive resection margins (malignancy). Major resections must be performed in accordance with the segmental anatomy. The operation entails removal of a lobe or segment with its afferent and efferent vessels while avoiding injury to vessels and bile ducts supplying the remnant tissue.
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