Korean J Hepatobiliary Pancreat Surg.  2007 Jun;11(2):26-30.

Surgical Management of Liver Trauma

Affiliations
  • 1Department of Surgery, Kyong Pook National University College of Medicine, Daegu, Korea. yjhwang@knu.ac.kr

Abstract

The management of blunt injuries to the liver still remains a significant challenge. The therapeutic options for liver trauma ranges from non-surgical management, surgical management and even to liver transplantation. Although a significant number of patients are treated non-surgically, most unstable patients require an immediate laparotomy. The preferred surgical techniques include resectional debridement, hepatotomy with direct suture ligation and perihepatic packing. In addition, an anatomical resection, hepatic artery ligation and various bypass techniques have a more defined role in selected injuries. This review discusses the various surgical options for unstable liver trauma patients.

Keyword

Trauma; Liver; Surgical management

MeSH Terms

Debridement
Hepatic Artery
Humans
Laparotomy
Ligation
Liver Transplantation
Liver*
Sutures
Wounds, Nonpenetrating
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