The role of laparoscopy in the nonoperative management of major blunt liver trauma.
Zantut, L.F.C.; Machado, M.A.C. ; Volpe, P.; Lima, M.J.R.; Poggetti, R.S.; Birolini, D.
Panam. J. Trauma



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The emergency surgical treatment of severe hepatic trauma still carries a high mortality risk. We report a case of severe blunt trauma to the liver managed without surgery under CT guidance. This attitude requires hemodynamic stability of the patient, close monitoring in a surgical intensive care unit and repeated CT scans. Laparoscopy was used to the management of hemoperitoneum due to rupture of hematoma and diagnosis and treatment of bile leakage. Conservative treatment is a reasonable option in selected hemodynamically stable patient with severe hepatic trauma. Laparoscopy is a useful adjunct in the nonoperative management of this condition.