Hepatic resection.

From our retrospective review of 30 patients having hepatic resection, we have made the following conclusions: (1) Hepatic resection is an uncommon procedure. (2) The majority of liver injuries require only drainage or suture ligation and drainage. (3) Midline incision, early arterial occlusion, and resectional debridement should be used for massive liver trauma. (4) Resection for tumor requires preoperative arteriography, transverse incision, and anatomic resection. (5) Wide irrigation with drainage is used after liver resection. (6) Reperitonealization of raw liver should be done. (7) Postoperative support should include administration of blood products, glucose, and albumin.