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

Andrei,Stefan; Isac,Sebastian; Carstea,Maricica; Martac,Cristina; Mihalcea,Lucian; Buzatu,Cristina; Ionescu,Dorin; Georgescu,Dragos Eugen; Droc,Gabriela

doi:10.3892/etm.2021.10961

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
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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
Published online on: November 11, 2021 https://doi.org/10.3892/etm.2021.10961
Article Number: 39
Copyright: © Andrei et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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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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