Devitalized hepatic tissue needs to be removed because of the risk of abscess. The hepatic parenchyma is divided along the line of fracture in the plane between devascularized liver and the remaining parenchyma using the back of the scalpel handle. When resistance is encountered, this indicates the elastic tissue of vessels or biliary ducts, which are doubly clamped, divided and suture ligated. In most instances, a non-anatomical resection rather than a standard anatomical hepatectomy is preferred. A major hepatectomy is rarely indicated in the presence of extended injuries.
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