Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Surgical Management of Traumatic Liver Injury

외상성 간 손상 환자의 수술적 치료

  • Han, Sun Wook (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Lee, Hwa Soo (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Bae, Sang Ho (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Kang , Gil Ho (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Kim, Sung Yong (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Baek, Moo Jun (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Lee, Moon Soo (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Kim, Hyung Chul (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Cho, Moo Sik (Department of Surgery, College of Medicine,Soonchunhyang University) ;
  • Kim, Chang Ho (Department of Surgery, College of Medicine,Soonchunhyang University)
  • 한선욱 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 이화수 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 배상호 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 강길호 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 김성용 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 백무준 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 이문수 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 김형철 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 조무식 (순천향대학교 의과대학 천안병원 외과학교실) ;
  • 김창호 (순천향대학교 의과대학 천안병원 외과학교실)
  • Received : 2006.05.12
  • Accepted : 2006.06.12
  • Published : 2006.06.30
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Abstract

Purpose: The liver is one of the most commonly injured organs by blunt or penetrating abdominal trauma. Patients with liver injury can be treated by using nonoperative or operative management. The aim of this study was to study patients with traumatic liver injury who were treated by using operative management. Methods: Ninety-eight patients with traumatic liver injury underwent surgical treatment from January 1995 to December 2004 at Soonchunhyang University Cheonan hospital. Medical records were reviewed retrospectively, and demographic, clinical, operative, and postoperative datas were collected and analyzed. Results: Among the patients with operative management, the peak incidence was in the third and the fourth decades. The male-to-female ratio was 1.9:1. The most frequent injury mechanism was blunt trauma (85.7%). Abdominal computed tomography was the diagnostic modality used most frequently. Severe liver injury above Grade III was seen in 80.6% of all patients, and long bone fracture was the most common combined injury. Patients were managed by using various techniques, including simple closure, liver resection, and perihepatic packing. Pulmonary complications were the most common postoperative complications (35.7%). the overall mortality rate was 17.3%. Between the survival group and the expired group, the amount of transfusion for the expired group was statistically more than that for the survival group. Conclusion: Operative management is an effective treatment modality for hemodynamically unstable patients with severe traumatic liver injury. The amount of transfusion is a significant prognostic factor for survival.

Keywords

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