Đánh giá kết quả điều trị chấn thương gan bằng phẫu thuật Bệnh viện Hữu nghị Đa khoa Nghệ An

Abstract

Abstract Introduction: To evaluate the results of surgical treatment of blunt hepatic trauma at Nghe An General Friendship Hospital. Materials and Methods: This was a retrospective descriptive study which included 37 patients who were diagnosed with blunt hepatic trauma and underwent surgery from January 2014 to April 2020 at Nghe An General Friendship Hospital. Results: There were 30 males (81.1%) and 7 females (21.9%). The mean age of the patients was 32.32 ± 11.053 (ranged from 7 to 57). Traffic accident accounted for 67.6% and grade IV liver injury contributed 54.6%. The selective combined with complete Glissonean pedicle management technique was carried out in 75.7% of the patients. The treatment methods included suture (32.4%), hepatectomy (48.6%), suture with gauze packing (10.8%), gauze packing only (8.1%) and gallbladder drainage (51.4%). The intra- and post-operative complications consisted of biliary fistula (2.7%), bleeding (5.4%), post-operative liver failure (2.7%), pneumonia (10.8%) and mortality (10.8%). The results were as following: Good 68.8%, Average (15.6%) and Bad (15.6%). Conclusions: Blunt hepatic trauma is an emergency surgical and with patients who do not have conservative treatment, the treatment is surgery. The timely appointment and the right method bring good results for these patients. Keywords: Blunt hepatic trauma, liver trauma; liver surgery.