PubMed · 5072917
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
R Smith. 1972. Liver resection.. https://pubmed.ncbi.nlm.nih.gov/5072917/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
This article reviews the segmental anatomy of the liver, which is the basis of modern hepatic surgery. Liver regeneration and the factors affecting liver volumes and the pathophysiology of the atrophy-hypertrophy complex are discussed. Benign and malignant focal liver lesions are reviewed from a surgeon's perspective. Finally, an imaging strategy is proposed and treatment options outlined.
Explore the source record for details and available documents.
A reliable preoperative detection and characterization of all liver lesions is necessary for the clarification of the operability of a patient. In patients, who are considered as good candidates for a partial liver resection, a double spiral-CT with an oral bowel opacification and an intravenous contrast medium administration is recommended. In those patients, who continue to be candidates for partial liver resection after CT, a CT arterioportography with arterial and portalvenous liver enhancement should be performed as the present gold standard of preoperative liver diagnostics. The aim of CT arterioportography is the further selection of patients for liver surgery. Because of its high specificity, MRI is useful for the characterization of liver lesions of unknown histology. For the differentiation between malignant (metastases) and benign (hemangioma) liver lesions, MRI is the method of choice. Because of the expected technical developments of MRI, a short-term comparison of CT and MRI in prospective studies is necessary.