Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
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Turning points in the practice of liver surgery: A historical review

  • Giovanni Domenico Tebala (Department of Digestive and Emergency Surgery, "S.Maria" Hospital Trust) ;
  • Stefano Avenia (Department of General and Emergency Surgery, "S.Maria della Misericordia" Hospital Trust) ;
  • Roberto Cirocchi (Department of Digestive and Emergency Surgery, "S.Maria" Hospital Trust) ;
  • Antonella Delvecchio (Department of Hepatobiliary Surgery, "F.Miulli" Hospital) ;
  • Jacopo Desiderio (Department of Digestive and Emergency Surgery, "S.Maria" Hospital Trust) ;
  • Domenico Di Nardo (Department of Digestive and Emergency Surgery, "S.Maria" Hospital Trust) ;
  • Francesca Duro (Department of Digestive and Emergency Surgery, "S.Maria" Hospital Trust) ;
  • Alessandro Gemini (Department of Digestive and Emergency Surgery, "S.Maria" Hospital Trust) ;
  • Felice Giuliante (Department of Hepatobiliary Surgery, Catholic University of the Sacred Heart) ;
  • Riccardo Memeo (Department of Hepatobiliary Surgery, "F.Miulli" Hospital) ;
  • Gennaro Nuzzo (Catholic University of the Sacred Heart)
  • Received : 2024.02.15
  • Accepted : 2024.03.22
  • Published : 2024.08.31
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Abstract

The history of liver surgery is a tale of progressive resolution of issues presenting one after another from ancient times to the present days when dealing with liver ailments. The perfect knowledge of human liver anatomy and physiology and the development of a proper liver resective surgery require time and huge efforts and, mostly, the study and research of giants of their own times, whose names are forever associated with anatomical landmarks, thorough descriptions, and surgical approaches. The control of parenchymal bleeding after trauma and during resection is the second issue that surgeons have to resolve. A good knowledge of intra and extrahepatic vascular anatomy is a necessary condition to develop techniques of vascular control, paving the way to liver transplantation. Last but not least, the issue of residual liver function after resection requires advanced techniques of volume redistribution through redirection of blood inflow. These are the same problems any young surgeon would face when approaching liver surgery for the first time. Therefore, obtaining a wide picture of historical evolution of liver surgery could be a great starting point to serve as an example and a guide.

Keywords

References

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