[Liver resection in closed injuries]

The authors have observed 129 patients with closed injuries of the liver. Resection is thought by the authors to be indicated to patients with vast wounds when there are areas with disturbed blood circulation, in patients with abruptions and crush of portions of the liver. Operations on most patients were performed as atypical resections with transparenchymatous ligation of the vessels and bile ducts. Lethality did not depend on the resection volume but was in direct correlation with the character of associated injuries. After resection of the liver 13 patients of 31 died. Of 98 patients who had ruptures of the liver and were subjected to other operations 47 patients died.