Therapie der Leberverletzung — agressiv oder konservativ
Management of Liver Trauma: Aggressive or Conservative
In a prospective study (1. 7. 86–31.12. 92) liver trauma was seen in 75 poly-traumatized patients, 37 of these belonged to grade I-III (Moore-classification), 38 showed major parenchymal destruction (grade IV-V) in 17 patients associated with injury of hepatic veins and in 9 cases with lesion of retrohepatic vena cava. Surgical treatment involved observation (n = 12), suture (n = 32), suture of the cava (n = 5), resection (n = 22), packing (n = 17, in addition n = 12), no therapy was possible in 4 patients. In major destruction liver packing allone or in addition is appropriated instead of long term reconstruction.
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- 2.Moore EE, Eismann B, Dunn EL (1979) Current Management of hepatic trauma. Contemp Surg 15:91Google Scholar