title: Management of severe hepatic trauma by two-stage total hepatectomy and subsequent liver transplantation.
abstract: Even today major hepatic trauma remains a formidable surgical challenge with considerable deaths from exsanguination. Apart from conservative operative techniques that allow successful management in most cases, liver transplantation may be indicated in a more severe injury. This is a report on a patient with massive, unsalvageable liver trauma on whom the first two-staged procedure was successfully performed. After total hepatectomy as the first step and a prolonged anhepatic period of more than 14 hours, liver replacement by an allograft was carried out in a second operation. The patient recovered completely from the potentially lethal hepatic trauma and is alive more than 17 months later.
authors.affiliation: Medizinische Hochschule Hannover, Klinik für Abdominal- und Transplantationschirurgie, Federal Republic of Germany.
authors.forename: B
authors.initials: B
authors.lastname: Ringe
authors.forename: R
authors.initials: R
authors.lastname: Pichlmayr
authors.forename: H
authors.initials: H
authors.lastname: Ziegler
authors.forename: H
authors.initials: H
authors.lastname: Grosse
authors.forename: E
authors.initials: E
authors.lastname: Kuse
authors.forename: K
authors.initials: K
authors.lastname: Oldhafer
authors.forename: A
authors.initials: A
authors.lastname: Bornscheuer
authors.forename: G
authors.initials: G
authors.lastname: Gubernatis
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008099:Liver / Q000293:injuries*; D016031:Liver Transplantation / Q000379:methods; D014184:Transplantation, Homologous