Barbuscia M, Querci A, Tonante A, Taranto F, Sanò M, Cingari E, Ilacqua A, Sturniolo G
University of Messina, Italy.
G Chir. 2012 Mar;33(3):66-70.
The authors summarize the essential steps in liver surgery. Modern imaging techniques are of great help in establishing a circumstantiated diagnosis of post-traumatic lesions of the intra-abdominal parenchymatous organs, and especially the liver. Such diagnosis must always be based on the AAST (American Association for the Surgery of Trauma) classification, essential for a correct approach. Each therapeutic choice must be based on a careful clinical evaluation to establish whether emergency exploration of the abdomen or simple patient monitoring is indicated. Organ injuries and consequent hemoperitoneum must be found and quantified. In any case, diagnosis and treatment must only begin once all measures have been taken to ensure the maintenance of vital functions and the normalization of the main blood chemistry parameters.
作者总结了肝脏手术的基本步骤。现代成像技术对于明确诊断腹腔内实质性器官尤其是肝脏的创伤后病变有很大帮助。这种诊断必须始终基于美国创伤外科学会（AAST）的分类，这对于正确的处理方法至关重要。每种治疗选择都必须基于仔细的临床评估，以确定是需要紧急剖腹探查还是只需对患者进行简单监测。必须找到并量化器官损伤及随之而来的腹腔积血。无论如何，只有在采取了所有措施以确保维持重要功能和主要血液生化参数正常化之后，才能开始诊断和治疗。
