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Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery

  • Authors:
    • Stefan Andrei
    • Sebastian Isac
    • Maricica Carstea
    • Cristina Martac
    • Lucian Mihalcea
    • Cristina Buzatu
    • Dorin Ionescu
    • Dragos Eugen Georgescu
    • Gabriela Droc
  • View Affiliations / Copyright

    Affiliations: Department of Anesthesiology and Intensive Care I, ‘Fundeni’ Clinical Institute, 022328 Bucharest, Romania, Department of Medical Semiology, Discipline of Internal Medicine I and Nephrology, Faculty of Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Surgery, Faculty of Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania
    Copyright: © Andrei et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 39
    |
    Published online on: November 11, 2021
       https://doi.org/10.3892/etm.2021.10961
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Abstract

The management of liver trauma is, currently, still heterogeneous ranging from conservative to major invasive liver resections. When appropriate, these cases should be referred to a regional care center. The objective of this study was to analyze the expertise of a non‑emergency center for liver surgery from Romania after initial stabilization in county hospitals. This study is a monocentric, retrospective, observational study, including 12 patients with hepatic trauma after a car accident, admitted between 2015 and 2019. We analyzed various clinical and biochemical data as independent variables, and the main outcome was considered the intensive care unit (ICU) length of stay. Our results revealed that intubation status at admission, norepinephrine infusion during surgery, hyperfibrinogenemia and duration of mechanical ventilation in patients with isolated liver trauma were correlated with prolonged ICU length of stay. Further prospective, more comprehensive studies are needed in order to evaluate the exact prognostic factors in terms of short‑ and long‑term mortality.
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Copy and paste a formatted citation
Spandidos Publications style
Andrei S, Isac S, Carstea M, Martac C, Mihalcea L, Buzatu C, Ionescu D, Georgescu DE and Droc G: Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery. Exp Ther Med 23: 39, 2022.
APA
Andrei, S., Isac, S., Carstea, M., Martac, C., Mihalcea, L., Buzatu, C. ... Droc, G. (2022). Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery. Experimental and Therapeutic Medicine, 23, 39. https://doi.org/10.3892/etm.2021.10961
MLA
Andrei, S., Isac, S., Carstea, M., Martac, C., Mihalcea, L., Buzatu, C., Ionescu, D., Georgescu, D. E., Droc, G."Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery". Experimental and Therapeutic Medicine 23.1 (2022): 39.
Chicago
Andrei, S., Isac, S., Carstea, M., Martac, C., Mihalcea, L., Buzatu, C., Ionescu, D., Georgescu, D. E., Droc, G."Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery". Experimental and Therapeutic Medicine 23, no. 1 (2022): 39. https://doi.org/10.3892/etm.2021.10961
Copy and paste a formatted citation
x
Spandidos Publications style
Andrei S, Isac S, Carstea M, Martac C, Mihalcea L, Buzatu C, Ionescu D, Georgescu DE and Droc G: Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery. Exp Ther Med 23: 39, 2022.
APA
Andrei, S., Isac, S., Carstea, M., Martac, C., Mihalcea, L., Buzatu, C. ... Droc, G. (2022). Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery. Experimental and Therapeutic Medicine, 23, 39. https://doi.org/10.3892/etm.2021.10961
MLA
Andrei, S., Isac, S., Carstea, M., Martac, C., Mihalcea, L., Buzatu, C., Ionescu, D., Georgescu, D. E., Droc, G."Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery". Experimental and Therapeutic Medicine 23.1 (2022): 39.
Chicago
Andrei, S., Isac, S., Carstea, M., Martac, C., Mihalcea, L., Buzatu, C., Ionescu, D., Georgescu, D. E., Droc, G."Isolated liver trauma: A clinical perspective in a non‑emergency center for liver surgery". Experimental and Therapeutic Medicine 23, no. 1 (2022): 39. https://doi.org/10.3892/etm.2021.10961
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