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The authors report their personal experience in the treatment of bleeding gastroesophageal varices related to portal hypertension. The excellent results of the esophagogastric devascularization observed in the middle-term follow-up (5 years) reinforced authors' opinion on this surgical procedure as the most valid alternative to derivative surgery. Furthermore, they emphasize esophagogastric devascularization can often replace, on principle, derivative surgery.

The authors report their experience in the management of hepatocellular carcinoma, describing a right hepatectomy extended to the left medial segment (IV segment). They also emphasize the treatment of the remaining part of the liver and pay attention to the retrieval of blood.

The authors report their experience with the treatment of mechanical jaundice in inoperable malignant neoplasms of the bile ducts and pancreas. They emphasize the importance of intrahepatic peripheral biliodigestive derivations (Soupault and Couinaud operation). After a review of the international literature, the authors consider the value of on accurate surgical strategy even in the presence of pathological and clinical features which may limit a radical choice.

The Authors report their experience in 4 cases of involvement of the inferior vena cava by hepatic and renal neoplastic and non neoplastic lesions. They describe the modern diagnostic technics and consider the surgical approaches in such cases.