Clinical analysis of the surgical diagnosis and treatment of 60 patients with traumatic liver rupture

VernacularTitle:创伤性肝破裂60例外科诊治分析
Author: Jing GAO ; Yunbin DENG ; Ting WANG
Publication Type:Journal Article
Keywords: Liver/injury; Hepatectomy; Peritoneal lavage
From: Chinese Journal of Primary Medicine and Pharmacy 2012;19(21):3238-3239
CountryChina
Language:Chinese
Abstract: Objective To explore clinical diagnosis and surgical treatment for the traumatic liver rupture.Methods The clinical data of 60 cases with traumatic liver rupture were retrospectively cralyzed to explore the diagnosis and surgical treatment.Results 45 injury patients were diagmosed by,patient history,signs and imaging studies.15 cases of blunt injury,five cases diagnosed by above methods,10 cases of diagnostic peritoneal puncture are positive diagnosis.28 cases received the left hepatic lobe partial resection,20 cases right lobe partial resection,12 cases had the left hepatic lobe and right lobe partial nephrectomy.Among 60 patients,5 cases(8.33％) were dead and the other 55 patients,8 cases occured postoperative complications,were discharged after symptomatic treatment,the average length of stay was (15.6 ± 3.5) days.Conclusion Traumatic liver rupture is a critical illness,rapid and correct diagnosis before surgery,and choose the correct surgical approach,focusing on merger deal with injuries to postoperative complications,and improve the treatment success rate.