Related Experiment Video
Updated: Aug 14, 2026
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
[Surgical management of serious hepatic injuries]
Yi-xiong Li1, Xin-sheng Lü, Xue-jun Lao
1Department of General Surgery, Xiangya Hospital, Central South University, Changsha 410078, China.
Objective:
To explore an effective method of treating serious hepatic injuries.
Methods:
A retrospective analysis was conducted on 92 consecutive cases of serious hepatic injuries during recent 21 years.
Results:
Eighty-four cases were treated with operation, and 8 cases with nonoperation management (NOM). Of these patients, 77 (83.5%) were healed, and 15 (16.5%) died. There were complications in 30 patients (31.5%). Hospital stay was 22.3 days.
Conclusion:
Ultrasonography is a valuable diagnostic measure for hepatic injuries. When hemodynamic was stable, CT scanning was especially necessary for patients with complex injuries. Hemostasis is a key measure during operation. Debridement of nonviable hepatic parenchyma is effective management for the decrease of operative complications. If hypotension cannot be corrected actively, clamping of the upper abdominal aorta is an effective measure for patients with hepatic injuries. Serious hepatic injuries can be treated with NOM selectively.
