The authors describe the surgical technique used in liver transplantation a
nd its application to treat retroperitoneal rumours. This technique compris
es primary mobilization of the liver with easy vascular control. This techn
ique. used in 29 patients, is simple, facilitates exposure of great vessels
which can be controlled and allows excellent exposure in difficult cases.
Analysis of the postoperative course emphasized the absence of hepatic and
renal complications, as reflected by normal renal function and liver enzyme
s. The use of this technique for renal and adrenal surgery avoids the need
for extracorporeal circulation and a thoracophrenoabdominal approach, there
by limiting the specific complications related to these two procedures.