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SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.
Abstract
• Anatomical right liver resections include right hepatectomy (segments 5 to 8),right lobectomy (segments 4 to 8), right paramedian setorectomy (segments 5and 8), and right lateral sectorectomy (segments 6 and 7).
• Anatomical segment-oriented liver resections require accurate knowledge of landmarks and precise dissection of the hilar region. Appropriate surgical view, occasionally requiring associated laparotomy and thoracotomy, is crucial for a safe resection.
• Right liver mobilization (before or after parenchymal transection) is usually needed, and complete mobilization from the inferior vena cava is required if liver resection includes segment 1.
• After right hepatectomy or right lobectomy, fixation of the falciform ligament keeps the remnant liver in anatomical position and allows adequate outflow.
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Authors:Bentham Science Books