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II. Occlusion of the Vascular Inflow to the Liver

R. GRAYDON W. GOODALL, M.D.; W. W. BURTON HYNDMAN, M.D.; FRASER N. GURD, M.D.

AMA Arch Surg. 1957;75(6):1011-1019.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The successful application of hypothermia to the surgery of the heart and brain is too well known to call for extensive documentation. Our own studies, which began with the extension of the safe time of occlusion of the abdominal aorta by means of hypothermia, reported in Part I,¹ have been extended to the specific devascularization of the liver. These latter experiments will be reported here.

Resections of the liver in normothermic patients have been successfully accomplished by several surgeons. The largest series appears to be the four patients reported by Pack and colleagues.² The hazard of extensive blood loss, and of serious bile leakage owing to failure of complete bile-duct ligature in a sanguineous field, have kept these operations from gaining general acceptance. Bernhard and colleagues³ have reported experiments similar to ours which indicate that a significant increase in safe operating time may be achieved by the . . . [Full Text PDF of this Article]

Author Affiliations
Montreal

From the Department of Experimental Surgery, McGill University Faculty of Medicine.

Footnotes
Submitted for publication May 14, 1957.

This investigation was assisted by a Grant-in-Aid from the National Research Council of Canada.

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