간엽절제술과 관련된 간장의 외과적 해부학 우리들의 임상경험

Abstract

Massive resection of the liver has increased in frequency and magnitude during recent years. Recently, in 1962, Quattlebaum]) has said that an active abdominal surgeon will encounter a number of hepatic conditions favorable for resection, some of which will be discovered unexpectedly during the course of an abdominal exploration. According to Galluzzi et a1, 2) primary hepatic cancer is seen in Europe in 0.13 percent of all autopsies and comprises 1.1 percent of all carcinoma; in America, it is seen in 0.25 percent of all autopsies and comprises 2.1 percent of all carcinoma; while in the Orient, it is seen in 0.85 percent of all auto psies and comprises 14.1 percent of all carcinoma. Since the authors have encountered carcinoma of the liver at surgery on many occasions in Korea, they are convinced that resection of the liver is a necessary form of therapy. During the past five years, the authors have attempted to clarify the surgical anatomy of the liver, pertaining to major hepatic resection, in the hope that resection may become a safe and practical proce dure. The following report is a result of these invest때ations along with a summary of clinical experiences with hepatic resection.