Hepatectomy Specimen Handling
Laura Webb Lamps, MD
 In order to orient the liver, it is important to identify the right lobe  lateral to the falciform ligament and the left lobe medial to the falciform ligament  . |
 Viewed from below, the quadrate lobe is between the gallbladder fossa and the ligamentum teres  , and the caudate lobe  is between the portal vein and the inferior vena cava. |
TERMINOLOGY
Partial Hepatectomy
Ranges from removal of a small wedge to a lobe or more
Typically consists of lesion plus a variably sized rim of nonneoplastic liver parenchyma
Liver Explant
Result of liver transplantation
Tumors
Goals of evaluation are to assess margins and stage tumor
Medical liver disease
Goal of evaluation is to determine or confirm cause of liver disease &/or liver failure
MACROSCOPIC FINDINGS
Specimen Handling
Partial hepatectomy
Determine what procedure was performed
Including exactly what structures/organs are present
Orient specimen
May require surgeon’s assistance
Identify surgical margin (exposed, cauterized, cut surface of hepatic parenchyma) and ink it
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
