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Revista argentina de cirugía
Print version ISSN 2250-639XOn-line version ISSN 2250-639X
Abstract
OROZCO, Francisco et al. Minimally invasive management of blunt hepatic trauma complications. Rev. argent. cir. [online]. 2022, vol.114, n.2, pp.155-161. ISSN 2250-639X. http://dx.doi.org/10.25132/raac.v114.n2.1584.
Background:
Nonoperative management of blunt hepatic trauma is successful in 95% of hemodynamically stable patients. The complication rate of high-grade injuries is 14% and mortality reaches 27% when they require open surgery.
Material and methods:
We conducted a descriptive study of case reports.
Results:
Three cases of high-grade hepatic trauma are reported. “A”: initial nonoperative management, laparoscopic lavage due to symptomatic hemoperitoneum, percutaneous drainage of liver abscess, catheter replacement and ERCP due to persistent biliary fistula. “B”: initial damage control surgery without liver resections, percutaneous drainage of liver abscess and catheter replacement. “C”: initial nonoperative management, laparoscopic lavage due to symptomatic hemoperitoneum, percutaneous drainage of liver abscess and catheter replacement. None of the patients died.
Conclusion:
These cases summarize the use of different management modalities of blunt hepatic trauma and the possibility of minimally invasive management of the complications.
Keywords : Liver abscess; Abdominal injuries; Minimally invasive surgical procedures; Wounds; Nonpenetrating; Laparoscopy.
