Clinical Outcomes of Emergency Primary Surgery and Controlled Surgery in the Treatment of Hepatobiliary Trauma

TANG Cheng

doi:10.13919/i.issn.2095-6274.ZHJY202405052

Abstract：Objective To compare the clinical efficacy of emergency primary surgery and controlled surgery in patients with hepatobiliary surgical injury.Methods A retrospective analysis was conducted on the data of 94 patients with hepatobiliary surgical injurytreated at the Xiaogan First People's Hospital from June 2021 to June 2023.Based on the surgical approach,the patients were divided into the observation group and the control group,with 47 cases in each group.The control group underwent emergency primary surgery,while the observation group received controlled surgery.The hospitalization-related indicators,inflammatory markers,coagulation parameters,postoperative complications,and mortality rates were compared between the two groups.Results The observa-tion group had significantly shorter surgery duration,time to temperature recovery,and hospital stay compared to those of the control group(P＜0.001).Before surgery,there were no significant differences in inflammatory markers(WBC,CRP)and coagulation parameters(APTT,PT,TT)between the two groups(P＞0.05).After surgery,the levels of WBC,CRP,APTT,PT,and TT in the observation group were significantly lower than those in the control group(P＜0.05).The incidence of complications in the observation group was 8.51％,which was significantly lower than the 38.30％in the control group,with statistical significance(P＜0.05).The mortality rate in the observation group was 6.38％,while it was 17.02％in the control group,and there was no statistically significant difference between the two groups(P＞0.05).Conclusion For patients with hepatobiliary surgical injury,the adoption of controlled surgery approach can shorten surgery duration,time to temperature recovery,and hospital stay,reduce inflammatory marker levels,help maintain coagulation function stability,and reducethe incidence of postoperative complications.