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Related Experiment Video

Updated: May 4, 2026

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
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Massive Liver Trauma-Multidisciplinary Approach and Minimal Invasive Surgery can Salvage Patients.

Pinky M Thapar1, Ravindra M Ghawat2, Abhay N Dalvi2

  • 1Department of Minimal Invasive surgery, Critical Care, Radiology and Endoscopy, Jupiter Hospital, Thane Maharashtra, India ; D-6, Vishram Dham, Veena Nagar Phase II, Mulund (West), Mumbai, 80 India.

The Indian Journal of Surgery
|January 16, 2014
PubMed
Summary
This summary is machine-generated.

This case study shows successful management of severe liver trauma (grade V hepatic injury) using a combination of angioembolization, laparoscopic lavage, and endoscopic stenting. This timely, minimally invasive approach led to a good patient outcome and recovery.

Keywords:
Angiographic embolizationBiliary fistulaHepatic traumaLaparoscopic lavage

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Area of Science:

  • Trauma Surgery
  • Hepatobiliary Surgery
  • Interventional Radiology

Background:

  • Massive liver trauma (grades IV-VI) presents significant management challenges with high morbidity and mortality.
  • Effective treatment necessitates multimodality interventions and precise timing.

Purpose of the Study:

  • To report a successful case of grade V hepatic injury management.
  • To highlight the efficacy of a timely, minimally invasive, multimodality approach.

Main Methods:

  • A patient with grade V hepatic injury underwent angioembolization upon admission due to active arterial extravasation.
  • Laparoscopic lavage and drainage were performed on day 5 for persistent abdominal inflammation.
  • Endoscopic stenting of the bile duct was conducted on day 7 to address a biliary fistula.

Main Results:

  • Successful treatment of grade V hepatic injury within 24 days from admission to discharge.
  • Angioembolization, laparoscopic lavage, and endoscopic stenting were key interventions.
  • The patient demonstrated full recovery and remained well at 1-year follow-up.

Conclusions:

  • A coordinated, minimally invasive strategy involving angioembolization, laparoscopic lavage, and endoscopic stenting can effectively manage massive liver trauma.
  • Timely intervention is critical for favorable outcomes in severe hepatic injuries.