title: Severe liver trauma: the transplant surgeon's perspective. A case report.
abstract: Patients with severe liver trauma may be referred to liver transplantation (LT), even though no universal algorithm is currently agreed upon. LT is usually performed as a two-stage procedure after failure of primary surgery or in the event of surgery-related acute liver failure (ALF), but pre-transplant patient management, appropriate selection criteria and prompt referral to LT centers are paramount for a favorable graft outcome. This is a report on a patient who underwent LT as a two-stage procedure for sepsis-related ALF after extended right hepatectomy for a complex abdominal blunt trauma. Prompt referral to the Liver Transplant Unit of the Cisanello Hospital, Pisa, where the whole spectrum of surgical options and intensive care support are available was crucial to allow successful LT in a timely fashion. Therefore, the authors strongly advocate the whole algorithm for patients with severe liver traumas be put under control of an experienced LT team in order to improve surgical results.
authors.affiliation: Liver Transplant Unit, Cisanello Hospital, University of Pisa, Pisa, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Catalano
authors.forename: Paolo
authors.initials: P
authors.lastname: De Simone
authors.forename: Umberto
authors.initials: U
authors.lastname: Montin
authors.forename: Laura
authors.initials: L
authors.lastname: Coletti
authors.forename: Giovanni
authors.initials: G
authors.lastname: Tincani
authors.forename: Lucio
authors.initials: L
authors.lastname: Urbani
authors.forename: Gianni
authors.initials: G
authors.lastname: Biancofiore
authors.forename: Franco
authors.initials: F
authors.lastname: Filipponi
mesh_terms: D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D008099:Liver / Q000293:injuries*; D017114:Liver Failure, Acute / Q000209:etiology* / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D018805:Sepsis / Q000150:complications; D014949:Wounds, Nonpenetrating / Q000601:surgery*; D055815:Young Adult