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Article
April 1944

LOBECTOMY OF THE LIVERREPORT OF THREE CASES

Author Affiliations

DURHAM, N. C. BALTIMORE
Harvey Cushing Fellow in Surgery.; From the Department of Surgery, Johns Hopkins Hospital and University.

Arch Surg. 1944;48(4):267-277. doi:10.1001/archsurg.1944.01230010277001
Abstract

Resection of large lesions of the liver is a relatively rare surgical procedure, and many surgeons are never called on to perform it. Though by far the commonest large resectable hepatic lesion is hemangioma, Shumacker,1 in reviewing all the cases from the world's literature to 1942, found only 56 cases in which operation was performed and noted that no author had reported more than a single case. Nevertheless, any surgeon may unexpectedly be confronted with such a lesion, for the correct diagnosis was made preoperatively only twice among the 56 cases reported by Shumacker. Resection of the liver has been performed for such diverse conditions2 as angioma, echinococcus cyst, gumma, tuberculoma, trauma, carcinoma, sarcoma, adenoma and hamartoma. The surgeon's stock of procedures should, therefore, include methods for excising large segments of the liver. It is for this reason that the present 3 cases, which demonstrate a technic for

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