Current management of hepatic trauma

Surg Clin North Am. 2010 Aug;90(4):775-85. doi: 10.1016/j.suc.2010.04.009. Epub 2010 Jun 3.


With the shift toward nonoperative management, most hepatic injuries are managed nonoperatively. On the other hand, up to two-thirds of high-grade hepatic injuries require laparotomy; these cases are technically difficult and challenging. Damage-control approaches, understanding of liver anatomy, and advances in technology have dramatically changed the approach to hepatic trauma, with improved outcomes. Anatomic or nonanatomic liver resection is required in 2% to 5% of liver injuries. Mortality with liver injury following resection is 9% with current advances.

Publication types

  • Review

MeSH terms

  • Abdominal Injuries / diagnosis
  • Abdominal Injuries / surgery*
  • Hepatectomy / methods*
  • Humans
  • Laparoscopy
  • Laparotomy
  • Liver / injuries*
  • Liver / surgery
  • Trauma Severity Indices