[An improved technique for bloodless hepatic resection on the in situ cold perfused liver]

An improved technique for bloodless hepatic resection using in vivo isolation and asanguinous hypothermic perfusion was described to deal with the huge liver tumour involving the liver hilum, the main hepatic veins and retrohepatic inferior vena cava. The original Fortner's technique was modified, including the incision; isolated cold perfusion of the healthy half of the liver through the portal vein; suprahepatic outlet for the perfusate, and shortened hepatic ischemia time by perfusing hepatic artery prior to the repair or reconstruction of the portal vein. Using this technique, two huge liver tumors were successfully resected, and the indications, intraoperative monitoring and early postoperative courses were discussed.