Major liver trauma.

Data are presented on nine patients in whom hepatic resection was performed for liver injury associated with multiple trauma. Perioperative hemodynamic homeostasis requires the support of the department of hematology, for supply of coagulation factors and platelet transfusions. Supplementary support in the postoperative period requires replacement of materials normally produced by the liver until normal liver function returns. Infection requires close attention for its successful management. Finally, with due regard to the attendant hematologic problems, we must still be prepared to perform extensive hepatic resection, if necessary.