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.