Repair of suprahepatic caval lesions under extracorporeal circulation in major liver trauma.

A case of major hepatic injury with associated juxtahepatic trauma is reported. Repair of the injuries was effected with the aid of extracorporeal circulation. This aided exposure of the bleeding site while at the same time minimizing blood loss.

[Cavo-suprahepatic lesions in severe hepatic injuries. Repair under extracorporeal circulation].

Liver injuries always have a sombre prognosis. Triple or quadruple clamping has been suggested to control haemorrhages, but the risk of the heart running dry has warranted internal shunts which have only been successful in odd cases. The severity of these lesions justifies a temporary packing pending admission in specialized unit for subsequent treatment.

[Surgical treatment of hepatoma on a cirrhotic liver].

From January 1, 1975 to July 1, 1984, 37 patients with a tentative diagnosis of hepatocarcinoma on cirrhosis were operated upon. There were 34 men and 3 women, aged from 32 to 82 years (mean: 60 years). The diagnosis of cirrhosis rested either on a history of liver failure associated with clinical and biochemical signs of hepatocellular dysfunction (4 cases), or on a positive liver biopsy (5 cases).