All operations

Hepatectomy

  • Right (V-VIII) vs Left (II-III) vs extended/trisegmentectomy (add IV).
  • Steps
  • Right subcostal vs midline incision (for left).
  • Mobilize triangular ligament.
  • Cholecystectomy + cystic duct cannulation.
  • Vessel loop to control blood supply.
  • Ligate hepatic artery → portal vein → then hepatic vein.
  • Divide parenchyma.
  • Use U/S, Cantlie’s line, & middle hepatic vein to guide.

Educational aid only. Verify every dose, indication, and guideline against current institutional protocol. This is not a substitute for clinical judgment.