Management of severe hepatic trauma by two-stage total hepatectomy and subsequent liver transplantation |
| |
Authors: | B Ringe R Pichlmayr H Ziegler H Grosse E Kuse K Oldhafer A Bornscheuer G Gubernatis |
| |
Institution: | Medizinische Hochschule Hannover, Klinik für Abdominal- und Transplantationschirurgie, Federal Republic of Germany. |
| |
Abstract: | Even today major hepatic trauma remains a formidable surgical challenge with considerable deaths from exsanguination. Apart from conservative operative techniques that allow successful management in most cases, liver transplantation may be indicated in a more severe injury. This is a report on a patient with massive, unsalvageable liver trauma on whom the first two-staged procedure was successfully performed. After total hepatectomy as the first step and a prolonged anhepatic period of more than 14 hours, liver replacement by an allograft was carried out in a second operation. The patient recovered completely from the potentially lethal hepatic trauma and is alive more than 17 months later. |
| |
Keywords: | |
|
|