Feasibility of Partial Hepatic Resection under Hypothermia

Abstract

THE limiting factor in the successful surgical management of many intra-abdominal pathologic processes is the presence of hepatic involvement. Extirpation of solitary, superficial lesions of the liver is carried out occasionally, but extensive resections are as yet uncommon. Too often, the criterion of inoperability is hepatic involvement per se, rather than the extent of the process within the liver. The functional reserve and regenerative capacity of the liver cells are often disregarded in this decision. This negative attitude has been engendered by the extreme vascularity and friability of hepatic tissue.Efforts to reduce the hazards of hemorrhage in hepatic surgery . . .