Recovery of Liver Function After Surgical Procedure of Penetrative and Nonpenetrative Liver Injury

Abstract

Determination of degree of liver function damadge after nonpentrative and penetrative injury as well as degree of postoperative recovery of liver function after surgical procedure of penetrative and non-penetrative injury. 60 patients were analised by retrospective-prospective study after surgery performed on University-Clinical Centre Tuzla in period from March 2008 to June 2011, out of which 30 of them were surgicaly treated for non-penetrative and 30 for penetrative liver injury. All patients were determined for values of total billirubine, direct billirubine, albumins, aspartat aminotransferasis (AST), alanin aminotransferasis (ALT) in preoperative period and in two weeks of postoperative recovery. In statistical data processing T-test of independent variables was used along with methods of descriptive statistical analysis. the difference on level p < 0,05 is statisticaly significant. Significant difference of values in direct billirubine, total proteins, albumins, AST, ALT was found by analysis of paremeters in liver function in preoperative period and among values in total and direct billirubine, total proterins, albumins, AST, ALT on 7th and 15th postoperative day among tested groups. Liver function damaged is larger after non-pentrative liver trauma in comparing to penetrative one. Liver function recovery is longer after surgical procedure of penetrative liver injury in comparing to non-pentrative liver injury.