Section 6.9 – Liver Mobilisation
Liver mobilisation requires division of regions of mesentery and
Regions of peritoneal reflection
The falciform ligament, a region of mesentery, is first divided up to its posterior limit
At that point, the right and left coronary ligaments or regions of reflection
Are encountered and can be divided
Division of the left coronary reflection or ligament
Mobilises the left lobe of the liver
The right lobe of the liver is mobilised by firstly retracting the liver medially
The right coronary ligament or reflection is identified
And sharply divided
Then the dissector separates the posterior surface of the liver from the underlying fascia
This process helps detach the right lobe of the liver
The right lobe of the liver is gradually separated from the underlying fascia
As far medially as possible
The medial limit of detachment occurs at the inferior vena cava