The liver possesses the unique ability to regenerate withina short period.1,2,3 This feature has led to the developmentof innovative strategies in liver surgery and transplantation.The anatomy of the liver is paramount in considering advancesin hepatic surgery. The liver is divided into eight segments(Figure 1). In healthy adults, the liver weighs about 1.5 kg(3.3 lb).4 The blood supply of the liver is carried throughtwo major vessels, the hepatic artery and the portal vein. Theportal vein carries a large volume of venous blood to the liverfrom the gut, pancreas, and spleen, . . . [Full Text of this Article]
Liver Resection and Liver Transplantation
Liver Regeneration
Response to Major Tissue Loss
Molecular Basis of Liver Regeneration
Liver Volume
Minimal Volume for the Surgically Created Liver Remnant or Allograft
Cirrhosis
Fatty Liver
Liver after Chemotherapy
Remnant Donor Liver and Partial Graft
Preoperative Evaluation
Clinical and Biochemical Tests
Dynamic Liver Tests
Safer Liver Resection and Partial Liver Transplantation
Strategies for Manipulating Liver Volume
Indications for Portal-Vein Occlusion
Portal-Vein Occlusion with Chemotherapy
Portal-Vein Embolization with Chemoembolization
Portal-Vein Embolization with Biliary Drainage
Effect on Tumor Growth
Small Liver Graft
Hepatoprotective Strategies
Pharmacologic Approaches
Surgical Approaches
Conclusions
Source Information
From the Swiss Hepato-Pancreatico-Biliary (HPB) Center, Department of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich, Switzerland.
Address reprint requests to Dr. Clavien at the Department of Visceral and Transplantation Surgery, University Hospital Zurich, Rämistr. 100, CH-8091 Zurich, Switzerland, or at clavien@chir.unizh.ch.
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