Hobbs K E
Br J Hosp Med. 1979 Nov;22(5):456, 458-9, 461-2 passim.
Surgery on the liver is a major undertaking and probably should only be attempted by surgeons suitably trained and with adequate experience. Lack of such experience perhaps accounts in part for the high mortality rate still associated with major liver surgery following trauma since the operation must be carried out by the surgeon on the spot under difficult conditions. Modern sophisticated diagnosis techniques now allow accurate localization and assessment of liver lesions and the short-term technical results of elective surgery are improving. Despite this, the long-term effects of liver surgery for malignancy are poor but it is often justified to relieve symptoms. Transplantation is still in its infancy and although the results look disappointing the occasional reports of long-term survivors should encourage further work in this field.
肝脏手术是一项重大手术，可能只应由训练有素且经验丰富的外科医生尝试进行。缺乏这种经验可能部分解释了创伤后重大肝脏手术仍伴有高死亡率的原因，因为手术必须由外科医生在困难的条件下当场进行。现代精密的诊断技术现在能够对肝脏病变进行准确的定位和评估，择期手术的短期技术效果正在改善。尽管如此，肝脏恶性肿瘤手术的长期效果不佳，但缓解症状往往是合理的。肝移植仍处于起步阶段，虽然结果看起来令人失望，但偶尔有长期存活者的报告应该会鼓励在这一领域开展进一步的工作。
