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Amanda K Arrington MD

Surgical Oncology
Assistant Professor

UGGHHHHHHHHH!!!! .

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Which segment??? .

Relationship with Portal Vein 2.. THINK…. Relationship with Hepatic Vein 3. 1. About Your Right Fist…. Hepatic Vein 7 8 4A 2 1 6 5 4B 3 Portal Vein .

. Know you are ABOVE Portal Vein--. Above Portal Vein…. 4A cannot 2 see portal 8 vein or 1 main branches 7 on CT! .

Know you are 4B below 3 Portal Vein if 5 you can see 1 portal branches or main 6 PV on CT (Red Circle) .Below the Portal Vein….

3. 4B. 5.POP QUIZ: Which segment??? 1. i. 6 2. Right of Right Hepatic PV V SEGMENT 6 . Below level of PV a) INFERIOR LOBES….

2. 8 SEGMENT 8 . 7.Now…which segment???? 1. Probably border or just left to Right Hepatic V a) SEGMENT 7. i. 8 2. Above Confluence of PV a) SUPERIOR LOBES…. 4A.

Brisbane 2000 Liver Terminology Right hepatectomy or right hemihepatectomy Left hepatectomy or left hemihepatectomy Right trisectionectomy or extended right hepatectomy Left trisectionectomy or extended left hepatectomy Left lateral sectionectomy or bisegmentectomy 2. 3 Right posterior sectionectomy Caudate lobectomy or segmentectomy 1 .

3 Right posterior sectionectomy Caudate lobectomy or segmentectomy 1 . Brisbane 2000 Liver Terminology Right hepatectomy or right hemihepatectomy Left hepatectomy or left hemihepatectomy Right trisectionectomy or extended right hepatectomy Left trisectionectomy or extended left hepatectomy Left lateral sectionectomy or bisegmentectomy 2.

3 Right posterior sectionectomy Caudate lobectomy or segmentectomy 1 . Brisbane 2000 Liver Terminology Right hepatectomy or right hemihepatectomy Left hepatectomy or left hemihepatectomy Right trisectionectomy or extended right hepatectomy Left trisectionectomy or extended left hepatectomy Left lateral sectionectomy or bisegmentectomy 2.

Brisbane 2000 Liver Terminology Right hepatectomy or right hemihepatectomy Left hepatectomy or left hemihepatectomy Right trisectionectomy or extended right hepatectomy Left trisectionectomy or extended left hepatectomy Left lateral sectionectomy or bisegmentectomy 2. 3 Right posterior sectionectomy Caudate lobectomy or segmentectomy 1 .

3 Right posterior sectionectomy Caudate lobectomy or segmentectomy 1 . Brisbane 2000 Liver Terminology Right hepatectomy or right hemihepatectomy Left hepatectomy or left hemihepatectomy Right trisectionectomy or extended right hepatectomy Left trisectionectomy or extended left hepatectomy Left lateral sectionectomy or bisegmentectomy 2.

3 Right posterior sectionectomy Caudate lobectomy or segmentectomy 1 . Brisbane 2000 Liver Terminology Right hepatectomy or right hemihepatectomy Left hepatectomy or left hemihepatectomy Right trisectionectomy or extended right hepatectomy Left trisectionectomy or extended left hepatectomy Left lateral sectionectomy or bisegmentectomy 2.

Brisbane 2000 Liver Terminology Right hepatectomy or right hemihepatectomy Left hepatectomy or left hemihepatectomy Right trisectionectomy or extended right hepatectomy Left trisectionectomy or extended left hepatectomy Left lateral sectionectomy or bisegmentectomy 2. 3 Right posterior sectionectomy Caudate lobectomy or segmentectomy 1 .

3 Right posterior sectionectomy Caudate lobectomy or segmentectomy 1 . Brisbane 2000 Liver Terminology Right hepatectomy or right hemihepatectomy Left hepatectomy or left hemihepatectomy Right trisectionectomy or extended right hepatectomy Left trisectionectomy or extended left hepatectomy Left lateral sectionectomy or bisegmentectomy 2.