[Rationale for surgical treatment of focal liver diseases]

A 19-year experience with surgical treatment of the patients with focal hepatic lesions is presented. Hepatic resection was performed in 149 patients. Of them, 52 underwent atypical resection with the use of ultrasound aspirator, laser scalpel, temporary exclusion of the liver out of circulation, placement of staple suture of the parenchyma, preliminary roentgenovascular embolization of the major vessels of the lobe removed. A modern classification of the methods of hepatic resection reflecting most accurately a volume of the parenchyma removed is presented. The postoperative lethality was 6.08%.