p-ISSN: 1306-696x | e-ISSN: 1307-7945
Cilt : 30 Sayı : 12 Yıl : 2024

Hızlı Arama

SCImago Journal & Country Rank
Karaciğer yaralanmalarında cerrahi tedavi deneyimimiz [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2001; 7(3): 185-188

Karaciğer yaralanmalarında cerrahi tedavi deneyimimiz

Fehmi Çelebi1, Ahmet A. Balık1, K. Yalçın Polat1, M. İlhan Yıldırgan1, Abdullah Böyük1, Durkaya Ören1
Atatürk Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Erzurum.


Hepatic injuries; our surgical treatment experience

Fehmi Çelebi1, Ahmet A. Balık1, K. Yalçın Polat1, M. İlhan Yıldırgan1, Abdullah Böyük1, Durkaya Ören1
Atatürk Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Erzurum.

PURPOSE: To evaluate the results of the surgical treatment of hepatic injuries in our institution for liver injuries. PATIENTS AND METHODS: One hundred seventy four patients who underwent operations between January 1986-December 1999 in Ataturk University Medical School, Emergency Service were reviewed retrospectively. RESULTS: 135 patients were male (77.5%). The mean age was 25.4 (range 3-84). Sixty three patients (36.3%) had only hepatic injuries and the others had co-existing abdominal organ injury [62 patients (35.7%) had one organ, 29 (16.7%) had two, 17 (9.7%) had three, 2 (1.1%) had four, and 1 (0.5%) had 5 organ injuries]. Five patients (2.8%) had inferior vena cava and 1 (0.5%) had vena porta injuries. One hundred seven patients (61.4%) had blunt, 44 (25.3%) had stab wound and 23 (13.3%) had gunshot injuries. Management was simple suture in 104 patient (60%), primary suture + surgical cell patching in 52 (29.8%), hepatectomy (5 right hepatectomy, 5 non anatomic hepatectomy) in 10 (5.7%), perihepatic packing in 4 (2.3%), primary suture + omental patch in 2 (1.1%), primary suture + arterial ligation in 2 (1.1%). Eleven patients (16.4%) in penetrating trauma group "Penetrating Abdominal Trauma Index" (PATI) score were higher than 25. Fever was the most common complaint postoperatively (5%). Three patients (1.7%) underwent reoperation. Twenty-six patients (14.9%) which one of them ware died. Died in the postoperative periods, 23 (13.2%) had blunt and 3 (1.7%) had penetrating traumas. CONCLUSION: Liver trauma still has high mortality rate injuries are very momentous. Especially blunt trauma related hepatic.



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