Bruns H, von Frankenberg M, Radeleff B, Schultze D, Büchler M W, Schemmer P
Klinik für Allgemein-, Viszeral und Transplantationschirurgie, Ruprecht-Karls-Universität, Im Neuenheimer Feld 110, 69120 Heidelberg.
Chirurg. 2009 Oct;80(10):915-22. doi: 10.1007/s00104-009-1729-5.
Liver resection as an emergency procedure in patients with liver injury due to abdominal trauma has become a rare procedure. In most cases liver trauma can be managed conservatively. Currently surgery is only indicated in hemodynamically instable patients and in cases of progredient haematoma where the main aim is control of bleeding. Anatomical liver resection should be avoided and may only be performed in cases of total vascular avulsion. Debridement of devascularized tissue can also be carried out in terms of an atypical liver resection. This article elucidates the current indications for liver resection after traumatic liver injury.
肝切除术作为腹部创伤所致肝损伤患者的急诊手术已变得罕见。在大多数情况下，肝外伤可采用保守治疗。目前，手术仅适用于血流动力学不稳定的患者以及进行性血肿的情况，主要目的是控制出血。应避免进行解剖性肝切除术，仅在完全血管撕脱的情况下才可进行。就非典型肝切除术而言，也可对失血管化组织进行清创。本文阐明了创伤性肝损伤后肝切除术的当前适应证。
