Application value of anatomical hepatectomy for children with severe liver trauma
10.3877/cma.j.issn.2095-3232.2015.01.006
- VernacularTitle:解剖性肝切除在小儿严重肝外伤中的应用价值
- Author:
Changjun LIU
1
;
Feizhou HUANG
;
Chuping LIU
;
Xianbo SHEN
;
Jinhui YANG
;
Bo JIANG
;
Jinshu WU
Author Information
1. 湖南师范大学第一附属医院 湖南省人民医院肝胆外科
- Keywords:
Hepatectomy;
Abdominal injury;
Child
- From:
Chinese Journal of Hepatic Surgery（Electronic Edition）
2015;(1):21-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of anatomical hepatectomy for children with severe liver trauma. Methods Clinical data of 11 patients with severe liver trauma in the First Afifliated Hospital of Hunan Normal University from January 2010 to January 2013 were retrospectively analyzed. There were 7 males, 4 females with the age ranging from 1 to 12 years old and the median of 7 years old. The informed consents of all patients were obtained and local ethical committee approval had been received. The patients underwent anatomical hepatectomy with regional hepatic portal occlusion. The intraoperative and postoperative situation including operation time, intraoperative blood loss and perioperative complications were observed. Results All the 11 cases underwent anatomical hepatectomy successfully. The operations included segment Ⅳb hepatectomy (n=1), left lateral lobectomy (n=2), left hemihepatectomy (n=1), segment Ⅵ hepatectomy (n=2), segment Ⅷ hepatectomy (n=1), right posterior lobectomy (n=1), right hemihepatectomy (n=3). One of the cases combined with posthepatic inferior vena cava injury underwent inferior vena cava repair successfully after anatomical right hemihepatectomy. Three cases complicated with spleen rupture underwent splenectomy. Five cases with biliary injury underwent repair and drainage during the operation. The median operation time was 3(1-8) h. The intraoperative blood loss was 50(5-600) ml. One case suffered from bile leakage after operation, and 1 cases suffered from subphrenic infection and pulmonary infection, septicemia. All recovered after symptomatic treatments. Conclusion Anatomical hepatectomy is a safe and effective method for children with severe liver trauma.
