THIS CASE is reported to describe a surgical maneuver designed to control hemorrhage during the operation of total or partial left hepatic lobectomy.
REPORT OF CASE
The patient was a 53-year-old white woman who was born in rural southern Italy, migrating to the Cleveland area when 8 years old. Her health was unimpaired until approximately 10 years prior to admission, when she noted progressive mild postprandial dyspepsia. In 1948 she became aware of a vague, slightly tender, continuous left epigastric fullness. One year later she began to experience episodes of deep-seated aching subxiphoid pain radiating posteriorly in a transverse and perpendicular fashion to the interscapular area. X-ray studies showed slight irregular elevation of the medial aspect of the left leaf of the diaphragm and extrinsic pressure along the prepyloric portion of the stomach. Extensive laboratory studies did not indicate evidence of hepatic, gastrointestinal, pancreatic, or biliary dysfunction. An indistinct slightly