title: Early right hepatectomy for severe liver trauma: a case report.
abstract: Liver is frequently involved and injured in blunt abdominal trauma. Although over the last three decades the management of blunt hepatic trauma has gradually shifted toward nonoperative approach whit a significant reduction in overall mortality, surgery remains the main option for hemodinamically unstable patients whit severe liver injuries. A 16-yr-old male in good health suffered a blunt abdominal trauma from a sport accident falling while playing football resulting in a grade V liver injury according to the American Association for the Surgery of Trauma Organ Injury Score. He underwent first to liver packing and next to an early right hepatectomy to arrest the clinical condition impairment In high grade liver injuries, liver resection makes possible to effectively control bleeding, remove necrotic tissue and prevent complications as bile leak. Nevertheless when patient's clinical condition continue to deteriorate despite optimal management a quickly and experienced hands performed hepatectomy may solve the situation.
authors.affiliation: Departments "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: N
authors.initials: N
authors.lastname: Guglielmo
authors.affiliation: Departments "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Melandro
authors.affiliation: Departments "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Improta
authors.affiliation: Departments "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Mennini
authors.affiliation: Departments "Pietro Valdoni", Sapienza University of Rome, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Rossi
authors.affiliation: Departments "Pietro Valdoni", Sapienza University of Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Assenza
authors.affiliation: Departments "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Rossi
authors.affiliation: Departments "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: P B
authors.initials: PB
authors.lastname: Berloco
mesh_terms: D000293:Adolescent; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*
keywords: Liver trauma; Packing; Right hepatectomy