Clinical study for the efficacy of the laparoscopic microinvasive surgery for treatment of liver trauma

Abstract

To explore the laparoscopic surgery efficacy for the treatment of liver trauma. From January 2009 to March 2014. 32 patients were received laparoscopic surgery for liver trauma treated in our hospital. There were 21 males and 11 females with an average age of 33.7 years old. Among the group, 23 cases were closed abdominal injury, 9 cases were open injury. 7 cases were Combined organ injuries. The patients' injuries arose from various causes, 13 due to falling, 10 due to be crushed, and 9 due to be cut. 32 patients were treated with laparoscopy completely. According Moore Classification standards. 2 cases were type I, 7 cases type II, 19 cases type III, 4 case type IV. 32 cases underwent electric coagulation, laparoscopic fibrin glue and soluble hemostatic gauze packing (n = 5), sutures to the broken liver (n = 20), debridement partial hepatectomy (n = 7). The patients combined with other organ injury were treated with laparoscope simultaneously. The operative duration time were 85 (30-210) mins. There was no postoperative death. Correct selection of indication and a deft laparoscopic liver resection help guarantee the laparoscopic surgery to be applicable way in treatment liver trauma.