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I read with interest the article on the anatomical resection of the left liver segments by Machado et al¹ that appeared in the December issue of ARCHIVES.

Machado et al² first published a paper about right portal pedicle isolation for right segmental liver resections and then this one about the same problem on the left liver. Like the authors, I too am interested in the extraglissonian approach to the liver portal pedicles and consider it very important and useful during right liver segmental resections (technique reported elsewhere).³ After this report, each time I have had to remove a tumor in the left liver, I have tried to isolate and clamp the segmental glissonian pedicle exactly in the same way as described by Machado et al. Unfortunately, the results have not been so enthusiastic. I realize that, except for the total control of the entire left portal pedicle, which . . . [Full Text of this Article]

AUTHOR INFORMATION
Giacomo Batignani, MD

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