Current management of hepatic trauma.
With the shift toward nonoperative management, most hepatic injuries are managed nonoperatively. On the other hand, up to two-thirds of high-grade hepatic injuries require laparotomy; these cases are technically difficult and challenging. Damage-control approaches, understanding of liver anatomy, and advances in technology have dramatically changed the approach to hepatic trauma, with improved outcomes. Anatomic or nonanatomic liver resection is required in 2% to 5% of liver injuries. Mortality with liver injury following resection is 9% with current advances.
Piper
Greta L
GL
Department of Surgery, University of Pittsburgh, F-1265, UPMC-Presbyterian, Pittsburgh, PA 15213, USA.
Peitzman
Andrew B
AB
D000007:Abdominal Injuries / Q000175:diagnosis / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008099:Liver / Q000293:injuries* / Q000601:surgery; D015599:Trauma Severity Indices