Liver trauma: WSES 2020 guidelines

被引：208

作者：

Coccolini, Federico ^{[1
]}

Coimbra, Raul ^{[2
]}

Ordonez, Carlos ^{[3
]}

Kluger, Yoram ^{[4
]}

Vega, Felipe ^{[5
]}

Moore, Ernest E. ^{[6
]}

Biffl, Walt ^{[7
]}

Peitzman, Andrew ^{[8
]}

Horer, Tal ^{[9
,35
]}

Abu-Zidan, Fikri M. ^{[10
]}

Sartelli, Massimo ^{[11
]}

Fraga, Gustavo P. ^{[12
]}

Cicuttin, Enrico ^{[1
]}

Ansaloni, Luca ^{[13
]}

Parra, Michael W.

Millan, Mauricio

DeAngelis, Nicola ^{[14
]}

Inaba, Kenji ^{[15
]}

Velmahos, George ^{[16
]}

Maier, Ron ^{[17
]}

Khokha, Vladimir ^{[18
]}

Sakakushev, Boris ^{[19
]}

Augustin, Goran ^{[20
]}

di Saverio, Salomone ^{[21
]}

Pikoulis, Emanuil ^{[22
]}

Chirica, Mircea ^{[23
]}

Reva, Viktor ^{[24
]}

Leppaniemi, Ari ^{[25
]}

Manchev, Vassil ^{[26
]}

Chiarugi, Massimo

Damaskos, Dimitrios ^{[27
]}

Weber, Dieter ^{[28
]}

Parry, Neil ^{[29
]}

Demetrashvili, Zaza ^{[30
]}

Civil, Ian ^{[31
]}

Napolitano, Lena ^{[32
]}

Corbella, Davide ^{[33
]}

Catena, Fausto ^{[34
]}

Bahouth, Hany

Tolonen, Matti

Fugazzola, Paola

Serna, Jose Julian

Rodriguez, Fernando

Garcia, Alberto F.

Gonzalez, Adolfo

Pino, Luis Fernando

Guzman-Rodriguez, Monica

Pereira, Bruno M.

Kirkpatrick, Andrew

机构：

[1] Univ Hosp Pisa, Gen Emergency & Trauma Surg Dept, Via Paradisia 1, I-56100 Pisa, Italy

[2] Loma Linda Univ, Riverside Univ Hlth Syst, CECORC Res Ctr, Loma Linda, CA USA

[3] Fdn Valle Lili, Div Trauma & Acute Care Surg, Cali, Colombia

[4] Rambam Hlth Care Campus Haifa, Div Gen Surg, Haifa, Israel

[5] Hosp Angeles Lomas, Dept Surg, Huixquilucan, Mexico

[6] Denver Hlth, Trauma Surg, Denver, CO USA

[7] Scripps Mem Hosp Jolla, Dept Trauma Surg, San Diego, CA USA

[8] Univ Pittsburgh, Dept Surg, Pittsburgh, PA USA

[9] Orebro Univ Hosp, Orebro Univ, Dept Cardiothorac & Vasc Surg, Orebro, Sweden

[10] UAE Univ, Coll Med & Hlth Sci, Dept Surg, Al Ain, U Arab Emirates

[11] Macerata Hosp, Gen & Emergency Surg, Macerata, Italy

[12] Univ Estadual Campinas, Trauma Acute Care Surg Surg Crit Care, Campinas, Brazil

[13] Bufalini Hosp, Gen Emergency & Trauma Surg Dept, Cesena, Italy

[14] Broward Gen Level Trauma Ctr, Dept Trauma Crit Care, Ft Lauderdale, FL USA

[15] LAC USC Med Ctr, Gen & Trauma Surg, Los Angeles, CA USA

[16] Massachusetts Gen Hosp, Gen & Emergency Surg, Boston, MA USA

[17] Harborview Med Ctr, Dept Surg, Seattle, WA USA

[18] Mozir City Hosp, Dept Gen Surg, Mozir, BELARUS

[19] Med Univ, Univ Hosp St George, Dept Gen Surg, Plovdiv, Bulgaria

[20] Zagreb Univ Hosp Ctr & Sch Med, Univ Zagreb, Dept Surg, Zagreb, Croatia

[21] Cambridge Univ Hosp NHS Fdn Trust, Gen & Trauma Surg Addenbrookes Hosp, Cambridge, England

[22] Natl Kapodistrian Univ Athens, Attiko Hosp, Dept Surg 3, Athens, Greece

[23] CHUGA, CHU Grenoble Alpes, Chirurg Digest, Grenoble, France

[24] Sergei Kirov Mil Acad, Gen & Emergency Surg, St Petersburg, Russia

[25] Mehilati Hosp, Dept Gen Surg, Helsinki, Finland

[26] Pietermaritzburg Hosp, Gen & Trauma Pietermaritzburg, Pietermaritzburg, South Africa

[27] NHS Lothian, Gen & Emergency Surg, Edinburgh, Midlothian, Scotland

[28] Royal Perth Hosp, Dept Gen Surg, Perth, Australia

[29] Victoria Hosp, London Hlth Sci Ctr, Gen & Trauma Surg Dept, London, ON, Canada

[30] Tbilisi State Med Univ, Gen Surg, Tbilisi, Georgia

[31] Auckland Univ Hosp, Trauma Surg, Auckland, New Zealand

[32] Univ Michigan Hlth Syst, Div Acute Care Surg, Ann Arbor, MI USA

[33] Papa Giovanni XXII Hosp, ICU Dept, Bergamo, Italy

[34] Maggiore Hosp, Emergency & Trauma Surg, Parma, Italy

[35] Orebro Univ, Orebro Univ Hosp, Dept Surg, Orebro, Sweden

来源：

WORLD JOURNAL OF EMERGENCY SURGERY | 2020年 / 15卷 / 01期

关键词：

Liver trauma; Adult; Pediatric; Minor; Moderate; Severe; Classification; Guidelines; Surgery; Hemorrhage; Operative management; Non-operative management; Interventional; Radiology; Intensive care; SELECTIVE NONOPERATIVE MANAGEMENT; BLUNT ABDOMINAL-TRAUMA; SOLID-ORGAN INJURY; MOLECULAR-WEIGHT HEPARIN; HEPATIC-TRAUMA; GUNSHOT WOUNDS; ANGIOGRAPHIC EMBOLIZATION; STAB WOUNDS; THROMBOEMBOLIC PROPHYLAXIS; COMPUTED-TOMOGRAPHY;

D O I：

10.1186/s13017-020-00302-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Liver injuries represent one of the most frequent life-threatening injuries in trauma patients. In determining the optimal management strategy, the anatomic injury, the hemodynamic status, and the associated injuries should be taken into consideration. Liver trauma approach may require non-operative or operative management with the intent to restore the homeostasis and the normal physiology. The management of liver trauma should be multidisciplinary including trauma surgeons, interventional radiologists, and emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.

引用

页数：15

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