Related Experiment Video
Updated: Oct 3, 2026
Application of Hemostatic Devices in Laparoscopic Hepatectomy
Published on: April 19, 2022
[Complex surgical therapy for severe hepatic trauma]
1Department of Traumatology, Chongqing Emergency Medical Center, Chongqing 400014.
Objective:
To improve the result of surgical therapy for patients with severe hepatic injury.
Methods:
Retrospective analysis was made on the result of surgical treatment of 237 patients with hepatic trauma during the past 8 years. 180 patients underwent surgery. Procedures such as packing with the omentum for the laceration of hepatic parenchyma, debridement or irregular hepatectomy under the direct control of lacerated hepatic blood vessels or Pringle's maneuvre and selective ligation of hepatic artery were used for patients with severe hepatic injury (Grad III-V).
Results:
Among the 180 patients, 154 were cured, and 8 of 23 with posthepatic IVC injury were cured with the maximum blood transfusion of 12,000 ml. The overall morality rate was 11.8%(28 of 237 patients). Besides associated injuries inside and outside the abdomen, exsanguination with or without coagulopathy was the main cause of death.
Conclusion:
Accurate liver packing with appropriate adjunctive procedures is effective in the treatment of retrohepatic venous injury.
