Management of 1,590 Consecutive Cases of Liver Trauma
- 1 April 1976
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 111 (4), 493-497
- https://doi.org/10.1001/archsurg.1976.01360220189033
Abstract
• Between 1939 and 1974, more than 1,500 patients have been treated for penetrating or blunt liver trauma at our institution. Gunshot wounds and major blunt trauma have increased, stab wounds decreased, as percent of total. In most cases techniques other than partial hepatic resection were used, although this was performed in 49 instances. Choledochostomy was infrequently employed. Intracaval shunts were useful in 15 selected patients with massive hepatic, concomitant suprarenal vena caval, or hepatic vein injuries. The overall mortality of this group was 13.1%. The improvement in mortality from liver injuries is attributable to (1) early exploration for suspected intra-abdominal traumatic injury, (2) a conservative approach to the liver injury, and (3) the limitation of lobar resection, vascular cannulae, and afferent vascular compression to highly selected cases. (Arch Surg 111:493-497, 1976)Keywords
This publication has 7 references indexed in Scilit:
- Early surgical management of severe liver trauma with vascular complication can lead to early dischargeTrauma, 2020
- LOBAR DEARTERIALIZATION FOR EXSANGUINATING WOUNDS OF THE LIVERPublished by Wolters Kluwer Health ,1972
- Critical Decisions in Liver TraumaArchives of Surgery, 1970
- Massive hepatic resection in the treatment of severe liver traumaThe American Journal of Surgery, 1969
- Emergency right hepatic lobectomy for rupture due to blunt injuryThe American Journal of Surgery, 1969
- Management of Blunt Trauma to the Liver and Hepatic VeinsArchives of Surgery, 1968
- HEPATIC RESECTION FOR MASSIVE TRAUMAPublished by Wolters Kluwer Health ,1964