Milestones in the evolution of hepatic surgery

This paper describes the rapid evolution of modern liver surgery, starting in the middle of the twentieth century. Claude Couinaud studied and described the segmental anatomy of the liver, Thomas Starzl performed the first liver transplantations, and Henri Bismuth introduced the concept of anatomica...

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Bibliographic Details
Published in:Rambam Maimonides medical journal 2011-01, Vol.2 (1), p.e0021-e0021
Main Authors: Bismuth, Henri, Eshkenazy, Rony, Arish, Arie
Format: Article
Language:English
Subjects:
liver
Rambam Grand Rounds
Surgery
transection
transplantation
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Summary:This paper describes the rapid evolution of modern liver surgery, starting in the middle of the twentieth century. Claude Couinaud studied and described the segmental anatomy of the liver, Thomas Starzl performed the first liver transplantations, and Henri Bismuth introduced the concept of anatomical resections. Hepatic surgery has developed significantly since those early days. To date, innovative techniques are applied, using cutting-edge technologies: Intraoperative ultrasound, techniques of vascular exclusion of the liver, new devices for performing homeostasis and dissection, laparoscopy for resections, and new drugs that allow the resection of previously unresectable tumors. The next stage in liver surgery will probably be the implementation of a multidisciplinary holistic approach to the liver-diseased patient that will ensure the best and most efficient treatments in the future.
ISSN:2076-9172
2076-9172
DOI:10.5041/RMMJ.10021