Operation methods treating severe traumatic hepatic rupture
Lv Junsheng
Abstract：Objective To investigate the individualized operation methods treating severe traumatic hepatic rupture.Methods Totally 35 cases who suffered from severe traumatic hepatic rupture were enrolled.The number of closed injury was 32 and open injury was 3.The number of traffic accident injury was 21 and high falling injury was 5.The blunt force injury was 5 and the abdominal stab wound was 4.Results The 35 patients suspected of the traumatic hepatic rupture by abdominal B scan had diagnostic abdominal puncture examination before operation,and they were diagnosed with abdominal laparotomy.Among the 35 cases,30(85.7％) were cured and 5 cases(14.3％) died.3 cases died in operation and 2 cases died after operation.There were 13 cases(37.1％) having complication after operation.The number of the subphrenic infection was 3 ; the liver abscess was 2 ; the rebleeding was 3 ; the biliary fistula was 3 ; the stress ulcer bleeding was 1 and the surgical wound infection was 1.They were cured by conservative treatment.Conclusions Main death causes include the severe associated injuries and the severe hemorrhagic shock.The proper operative method is the key treatment of the severe traumatic hepatic rapture; meanwhile we should deal with the associated injuries,etc.
Keywords：Hepatic ruptureOperation methodHepatectomyComplication
Publication Date：2014-05-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 677-679 )