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Hepatic Resections
David R. Holt, MD;
David Van Thiel, MD;
Steve Edelstein, MD;
John J. Brems, MD
Arch Surg. 2000;135:1353-1358.
Hepatic resection is the treatment of choice for many secondary and primary hepatic tumors. With improvement in surgical techniques and earlier recognition of hepatic tumors, there has been a renewed interest in performing hepatic resections. In this operative review, we will describe the techniques for performing right-sided and left-side hepatic resections. A major hepatic resection can be performed with less than 5% mortality and approximately a 5% to 15% morbidity. Special mention will be made of performing a hepatic resection without vascular inflow occlusion. This is necessary in performing a hepatic resection for use in live donor liver transplantation.
From the Departments of Surgery (Drs Holt, Van Thiel, and Brems), Medicine (Dr Van Thiel), and Anesthesia (Dr Edelstein), Division of Intra-abdominal Organ Transplantation, Loyola University, Maywood, Ill. The authors have no commercial, proprietary, or financial interest in the products and companies described in this article.
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