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    Liver Segments by Ultrasound

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    Mai Ibrahim
    The document discusses the Couinaud classification system for dividing the liver into eight functionally independent segments based on vascular supply. It describes how the middle hepatic artery divides the liver into right and left lobes, and the right hepatic vein further divides the right lobe into anterior and posterior segments. The falciform ligament or left hepatic vein divides the left lobe into segment IV and segments II-III. Ultrasound scans at different levels can help identify these segments.

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    Liver Segments by Ultrasound

    Uploaded by

    Mai Ibrahim
    33 views25 pages
    The document discusses the Couinaud classification system for dividing the liver into eight functionally independent segments based on vascular supply. It describes how the middle hepatic artery divides the liver into right and left lobes, and the right hepatic vein further divides the right lobe into anterior and posterior segments. The falciform ligament or left hepatic vein divides the left lobe into segment IV and segments II-III. Ultrasound scans at different levels can help identify these segments.

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    Liver segments by ultrasound

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    The document discusses the Couinaud classification system for dividing the liver into eight functionally independent segments based on vascular supply. It describes how the middle hepatic artery divides the liver into right and left lobes, and the right hepatic vein further divides the right lobe into anterior and posterior segments. The falciform ligament or left hepatic vein divides the left lobe into segment IV and segments II-III. Ultrasound scans at different levels can help identify these segments.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    33 views25 pages

    Liver Segments by Ultrasound

    Uploaded by

    Mai Ibrahim
    The document discusses the Couinaud classification system for dividing the liver into eight functionally independent segments based on vascular supply. It describes how the middle hepatic artery divides the liver into right and left lobes, and the right hepatic vein further divides the right lobe into anterior and posterior segments. The falciform ligament or left hepatic vein divides the left lobe into segment IV and segments II-III. Ultrasound scans at different levels can help identify these segments.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 25

    LIVER SEGMENTS BY

    ULTRASOUND
    Presented by/ Mai Ibrahim
    Elnwassany.MSC
    The anatomy of the liver can be described* 
    using two different aspects: morphological and
    . functional anatomy
    The frensh surgeon, Claude Couinaud was the* 

    first to divide the liver into eight functionally


    .independent segments
    Functional anatomy is very important in* 
    hepatic surgery, allowing resection of segments
    (segmentectomy) without damaging other
    .segment
    Couinaud classification
    The Couinaud classification of liver anatomy 

    divides the liver into eight functionally


    .independent segments
    Couinaud classification
    The Couinaud classification of the liver divides 

    the liver into eight functionally independent


    .segments
    Each segment has its own vascular inflow, out 

    .flow and biliary driange


    Middle hepatic artery divides the liver into right** 

    and left lobes. This plan runs from the inferior vena
    .cava to gall bladder fossa

    Right hepatic vein divides the right lobe into** 

    .anterior and posterior segments

    The Falciform ligament (or left hepatic vein)** 


    divide the left lobe into medial segment (segment
    IV) and lateral part segment
    )segment II-III ( 
    Caudate lobe is located at posterior aspect of 

    the liver between IVC , portal vein and


    .ligamentum venosum
    Levels of transverse scan
    .Upper level: hepatic veins 

    .Lower level: left portal vein 

    .Level of GB fossa 

    .Level of right kidney 


    Upper level: hepatic veins
    Middle hepatic vein divides the liver into right 

    .and left lobes


    This plane runs from the inferior vena cava to 

    .gall bladder fossa


    Right hepatic vein divides the right lobe into 

    .anterior and posterior segments


    Lower level : level of left portal vein 
    :Level of GB 
    :Level of right kidney 
    Sagittal scan
    Transverse scan

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