[Artificial circulation method in operations on the liver]

The method of parallel and isolated artificial circulation in the liver is described on the basis of 97 experimental operations on dogs of various weights. The paper gives a brief description of the apparatus for the regional perfusion of the liver and portable oxygenator. The composition of the perfusate and main criteria of the liver perfusion adequacy are considered, including the hemodynamic shifts and disorders in the hepatic functions under the artificial circulation in the liver. The perfusion is estimated in different temperature regimens, the advantages of the hyperthermal perfusion over normal and hypothermal ones being also shown. The method of artificial circulation is recommended in vast resections of the liver, in transplantation and in the treatment of hepatic malignancies.