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2015 ; 4
(4
): 299-302
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Major hepatectomy for complex liver trauma
#MMPMID26311308
Ariche A
; Klein Y
; Cohen A
; Lahat E
Hepatobiliary Surg Nutr
2015[Aug]; 4
(4
): 299-302
PMID26311308
show ga
The liver is the most frequently injured intraperitoneal organ, despite its
relatively protected location. The liver consisting of a relatively fragile
parenchyma contained within the Glisson capsule, which is thin and does not
provide it with great protection. The management of hepatic trauma has undergone
a paradigm shift over the past several decades with significant improvement in
outcomes. Shifting from mandatory operation to selective nonoperative treatment,
and, presently, to nonoperative treatment with selective operation. Operative
management emphasizes packing, damage control, and utilization of interventional
radiology, such as angiography and embolization. Because of the high morbidity
and mortality, liver resection seems to have a minimal role in the management of
hepatic injury in many reports, but in a specialized referral center, like our
institute, surgical treatment becomes, in many cases, the only life-saving
treatment. Innovations in liver transplant surgery, living liver donation, and
the growth of specialized liver surgery teams have changed the way that surgeons
and hepatic resection are done.
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