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Anatomic Liver Segments
Anatomic Liver Segments
The Couinaud classification system divides the liver into eight, functionally independent
segments each with a center consisting of portal vein and hepatic artery branches as well as
bile duct drainage. The periphery of each segment is where vascular outflow occurs via the
hepatic veins. The numbering system starts with the caudate lobe (segment I, on the posterior
of the liver and not seen in this image) and carried out in a clockwise fashion. Of note,
segments VI and VII were drawn for the purpose of illustration. They will typically not be
seen on an anterior view of the liver since they are posterior structures.
Knowing the liver segments is helpful to localize pathology and to discuss planes for surgical
resection (ie, extended right hepatectomy, left medial sectionectomy, etc.