Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery

The management of liver trauma is, currently, still heterogeneous ranging from conservative to major invasive liver resections. When appropriate, these cases should be referred to a regional care center. The objective of this study was to analyze the expertise of a non-emergency center for liver sur...

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Bibliographic Details
Published in:Experimental and therapeutic medicine 2022-01, Vol.23 (1), Article 39
Main Authors: Andrei, Stefan, Isac, Sebastian, Carstea, Maricica, Martac, Cristina, Mihalcea, Lucian, Buzatu, Cristina, Ionescu, Dorin, Georgescu, Dragos Eugen, Droc, Gabriela
Format: Article
Language:English
Subjects:
Abdomen
Blood pressure
Blood products
Body mass index
Data analysis
Data collection
Evaluation
Hemorrhagic shock
Hospitalization
Hospitals
Injuries
Intubation
Liver
Medical research
Medicine, Experimental
Mortality
Ostomy
Patients
Prognosis
Sepsis
Surgery
Trauma
Variables
Ventilators
Weaning
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Summary:The management of liver trauma is, currently, still heterogeneous ranging from conservative to major invasive liver resections. When appropriate, these cases should be referred to a regional care center. The objective of this study was to analyze the expertise of a non-emergency center for liver surgery from Romania after initial stabilization in county hospitals. This study is a monocentric, retrospective, observational study, including 12 patients with hepatic trauma after a car accident, admitted between 2015 and 2019. We analyzed various clinical and biochemical data as independent variables, and the main outcome was considered the intensive care unit (ICU) length of stay. Our results revealed that intubation status at admission, norepinephrine infusion during surgery, hyperfibrinogenemia and duration of mechanical ventilation in patients with isolated liver trauma were correlated with prolonged ICU length of stay. Further prospective, more comprehensive studies are needed in order to evaluate the exact prognostic factors in terms of short- and long-term mortality.
ISSN:1792-0981
1792-1015
DOI:10.3892/etm.2021.10961