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The development of increasingly sensitive imaging techniques along with improved follow-up and screening of high-risk patients has led to hepatic tumors, both primary and secondary, being detected while still at an early stage. Improved understanding of hepatic anatomy along with advances in surgical technique has led to the ability to undertake hepatic resections based on the segmental hepatic anatomy as described by Couinaud. The purpose of this paper is to assess the safety, technique, and oncologic efficacy of segmental hepatic resection. Fifty consecutive patients undergoing segmental hepatic resection during a 3-year time period ending in January 1992 were reviewed. Parametric statistical analysis was undertaken using Student's t-tests. Overall mortality was 2% with a morbidity rate of 8%. Transfusion requirements were 1 [+ or -] 1.5 U; however, cirrhotic patients showed a significantly increased transfusion requirement of 2.0 [+ or -] 1.3 U versus 0.7 [+ or -] 1.3 U (p = 0.03). Sixty percent of patients required no transfusion at all. The mean duration of inflow occlusion was 42 [+ or -] 17 minutes. Resection margins were clear of tumor by greater than 1 cm in 48 of 50 patients. Segmental hepatic resection is a safe and effective technique that occasionally may offer advantages over formal resection. Some aspects of the technique are reviewed.

Ever since Twitter launched in 2006 and Facebook became mainstream, most industries have sought ways to connect with their consumers through social media. Medical device and bio/pharmaceutical manufacturers, however, have [...]

Ever since Twitter launched in 2006 d Facebook became mainstream, most industries have sought ways to connect with their consumers through social media. Medical device and pharmaceutical manufacturers, however, have [...]

Presents letters to the editor referencing articles and topics published in previous issues. Comment on the indictment of the rugby team Dirty Dozen by the judiciary; Appraisal of rugby player Nathan Hindmarsh who has won player of the year prize in 2004; Appraisal of the rugby player Sonny Bill Williams.