Hepatic bisegmentectomy 7-8 for a colorectal metastasis

A parenchymal sparing strategy should be always considered during liver resection in order to avoid post-operative liver failure and to allow a future reresection.^1,2 A right hepatectomy is usually required for tumours infiltrating the right hepatic vein (RHV) close to its confluence with the vena cava. Makuuchi (1987)³ reported the first resection of segments 7 and 8, sparing segments 5 and 6, but with the presence of a large inferior right hepatic vein (IRHV).^4-11 This report describes the first bisegmentectomy of segments 7 and 8 in the absence of an IRHV.