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Invited Critique
April 20, 2009

Long-term Survival After Surgery for Primary Hepatic Sarcoma in Adults—Invited Critique

Arch Surg. 2009;144(4):344. doi:10.1001/archsurg.2009.31

As we enter the 21st century, there is no question that liver resections will be done more frequently, more safely, and by more surgeons than ever before. New techniques for resection are being introduced, so that blood loss and complications are at an all-time low. The accepted mortality for liver resection used to be around 5%, but now the large centers are doing major resections with mortalities of less than 2%. These conditions lead surgeons to be more liberal as to patient selection for hepatic resection. This study about primary hepatic sarcomas is an example of a clear indication for liver resection as a treatment for a condition that many once thought was incurable.