Management of blunt liver injury: what is new?

European Journal of Trauma and Emergency Surgery

Volumn 41, Issue 3, 2015, Pages 229-237

  Ward, J ^a   Alarcon, L ^a   Peitzman, A B ^a  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

Angiography embolization; Blunt hepatic injury; Liver resection; Nonoperative management

Indexed keywords

ANATOMY AND HISTOLOGY; ANGIOGRAPHY; ARTIFICIAL EMBOLIZATION; CLINICAL COMPETENCE; COMPUTER ASSISTED TOMOGRAPHY; EARLY DIAGNOSIS; HEMORRHAGE; HUMAN; INJURIES; INJURY SCALE; LAPAROTOMY; LIVER; LIVER RESECTION; PATHOLOGY; PRACTICE GUIDELINE; PROCEDURES; RADIOGRAPHY; WOUNDS, NONPENETRATING;

ANGIOGRAPHY; CLINICAL COMPETENCE; EARLY DIAGNOSIS; EMBOLIZATION, THERAPEUTIC; HEMORRHAGE; HEPATECTOMY; HUMANS; INJURY SEVERITY SCORE; LAPAROTOMY; LIVER; PRACTICE GUIDELINES AS TOPIC; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING;

EID: 84930378405     PISSN: 18639933     EISSN: 16153146     Source Type: Journal    
DOI: 10.1007/s00068-015-0521-0     Document Type: Review

References (69)

1. Matthes G, Stengel D, Seifert J, Rademacher G, Mutze S, Ekkernkamp A. Blunt liver injuries in polytrauma: results from a cohort study with the regular use of whole-body helical computed tomography. World J Surg. 2003;27(10):1124–30. doi:10.1007/s00268-003-6981-0.
2. Lee SK, Carrillo EH. Advances and changes in the management of liver injuries. Am Surg. 2007;73(3):201–6.
3. Malhotra AK, Fabian TC, Croce MA, Gavin TJ, Kudsk KA, Minard G, et al. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg. 2000;231(6):804–13.
4. Velmahos GC, Toutouzas KG, Radin R, Chan L, Demetriades D. Nonoperative treatment of blunt injury to solid abdominal organs: a prospective study. Arch Surg. 2003;138(8):844–51. doi:10.1001/archsurg.138.8.844.
5. Kozar RA, Moore FA, Cothren CC, Moore EE, Sena M, Bulger EM, et al. Risk factors for hepatic morbidity following nonoperative management: multicenter study. Arch Surg. 2006;141(5):451–8. doi:10.1001/archsurg.141.5.451 (discussion 8–9).
6. Peitzman AB, Marsh JW. Advanced operative techniques in the management of complex liver injury. J Trauma Acute Care Surg. 2012;73(3):765–70. doi:10.1097/TA.0b013e318265cef5.
7. Polanco P, Leon S, Pineda J, Puyana JC, Ochoa JB, Alarcon L, et al. Hepatic resection in the management of complex injury to the liver. J Trauma. 2008;65(6):1264–9. doi:10.1097/TA.0b013e3181904749 (discussion 9–70).
8. Becker CD, Mentha G, Terrier F. Blunt abdominal trauma in adults: role of CT in the diagnosis and management of visceral injuries. Part 1: liver and spleen. Eur Radiol. 1998;8(4):553–62.
9. Ochsner MG. Factors of failure for nonoperative management of blunt liver and splenic injuries. World J Surg. 2001;25(11):1393–6.
10. Scalea TM, Rodriguez A, Chiu WC, Brenneman FD, Fallon WF Jr, Kato K, et al. Focused assessment with sonography for trauma (FAST): results from an international consensus conference. J Trauma. 1999;46(3):466–72.
11. Sirlin CB, Brown MA, Andrade-Barreto OA, Deutsch R, Fortlage DA, Hoyt DB, et al. Blunt abdominal trauma: clinical value of negative screening US scans. Radiology. 2004;230(3):661–8. doi:10.1148/radiol.2303021707.
12. Wallis A, Kelly MD, Jones L. Angiography and embolisation for solid abdominal organ injury in adults—a current perspective. World J Emerg Surg. 2010;5:18. doi:10.1186/1749-7922-5-18.
13. Kozar RA, Moore FA, Moore EE, West M, Cocanour CS, Davis J, et al. Western Trauma Association critical decisions in trauma: nonoperative management of adult blunt hepatic trauma. J Trauma. 2009;67(6):1144–8. doi:10.1097/TA.0b013e3181ba361f (discussion 8–9).
14. Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995;38(3):323–4.
15. Poletti PA, Mirvis SE, Shanmuganathan K, Killeen KL, Coldwell D. CT criteria for management of blunt liver trauma: correlation with angiographic and surgical findings. Radiology. 2000;216(2):418–27. doi:10.1148/radiology.216.2.r00au44418.
16. Yoon W, Jeong YY, Kim JK, Seo JJ, Lim HS, Shin SS, et al. CT in blunt liver trauma. Radiographics. 2005;25(1):87–104. doi:10.1148/rg.251045079.
17. Taourel P, Vernhet H, Suau A, Granier C, Lopez FM, Aufort S. Vascular emergencies in liver trauma. Eur J Radiol. 2007;64(1):73–82. doi:10.1016/j.ejrad.2007.07.013.
18. Nance ML, Peden GW, Shapiro MB, Kauder DR, Rotondo MF, Schwab CW. Solid viscus injury predicts major hollow viscus injury in blunt abdominal trauma. J Trauma. 1997;43(4):618–22 (discussion 22–23).
19. Bilgic I, Gelecek S, Akgun AE, Ozmen MM. Predictive value of liver transaminases levels in abdominal trauma. Am J Emerg Med. 2014;32(7):705–8. doi:10.1016/j.ajem.2014.03.052.
20. Tan KK, Bang SL, Vijayan A, Chiu MT. Hepatic enzymes have a role in the diagnosis of hepatic injury after blunt abdominal trauma. Injury. 2009;40(9):978–83. doi:10.1016/j.injury.2009.02.023.
21. Tian Z, Liu H, Su X, Fang Z, Dong Z, Yu C, et al. Role of elevated liver transaminase levels in the diagnosis of liver injury after blunt abdominal trauma. Exp Ther Med. 2012;4(2):255–60. doi:10.3892/etm.2012.575.
22. Christmas AB, Wilson AK, Manning B, Franklin GA, Miller FB, Richardson JD, et al. Selective management of blunt hepatic injuries including nonoperative management is a safe and effective strategy. Surgery. 2005;138(4):606–10. doi:10.1016/j.surg.2005.07.018 (discussion 10–11).
23. Feliciano DV. Continuing evolution in the approach to severe liver trauma. Ann Surg. 1992;216(5):521–3.
24. Pachter HL, Knudson MM, Esrig B, Ross S, Hoyt D, Cogbill T, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients. J Trauma. 1996;40(1):31–8.
25. Badger SA, Barclay R, Campbell P, Mole DJ, Diamond T. Management of liver trauma. World J Surg. 2009;33(12):2522–37. doi:10.1007/s00268-009-0215-z.
26. David Richardson J, Franklin GA, Lukan JK, Carrillo EH, Spain DA, Miller FB, et al. Evolution in the management of hepatic trauma: a 25-year perspective. Ann Surg. 2000;232(3):324–30.
27. Pachter HL. Prometheus bound: evolution in the management of hepatic trauma–from myth to reality. J Trauma Acute Care Surg. 2012;72(2):321–9. doi:10.1097/TA.0b013e31824b15a7.
28. Parks NA, Davis JW, Forman D, Lemaster D. Observation for nonoperative management of blunt liver injuries: how long is long enough? J Trauma. 2011;70(3):626–9. doi:10.1097/TA.0b013e31820d1c69.
29. Piper GL, Peitzman AB. Current management of hepatic trauma. Surg Clin North Am. 2010;90(4):775–85. doi:10.1016/j.suc.2010.04.009.
30. Raza M, Abbas Y, Devi V, Prasad KV, Rizk KN, Nair PP. Non operative management of abdominal trauma—a 10 years review. World J Emerg Surg. 2013;8:14. doi:10.1186/1749-7922-8-14.
31. Stassen NA, Bhullar I, Cheng JD, Crandall M, Friese R, Guillamondegui O, et al. Nonoperative management of blunt hepatic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(5 Suppl 4):S288–93. doi:10.1097/TA.0b013e318270160d.
32. Leppaniemi AK, Mentula PJ, Streng MH, Koivikko MP, Handolin LE. Severe hepatic trauma: nonoperative management, definitive repair, or damage control surgery? World J Surg. 2011;35(12):2643–9. doi:10.1007/s00268-011-1309-y.
33. van der Wilden GM, Velmahos GC, Emhoff T, Brancato S, Adams C, Georgakis G, et al. Successful nonoperative management of the most severe blunt liver injuries: a multicenter study of the research consortium of new England centers for trauma. Arch Surg. 2012;147(5):423–8. doi:10.1001/archsurg.2012.147.
34. Velmahos GC, Toutouzas K, Radin R, Chan L, Rhee P, Tillou A, et al. High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organ. Arch Surg. 2003;138(5):475–80. doi:10.1001/archsurg.138.5.475 (discussion 80–81).
35. Tinkoff G, Esposito TJ, Reed J, Kilgo P, Fildes J, Pasquale M, et al. American Association for the Surgery of Trauma Organ Injury Scale I: spleen, liver, and kidney, validation based on the National Trauma Data Bank. J Am Coll Surg. 2008;207(5):646–55. doi:10.1016/j.jamcollsurg.2008.06.342.
36. Polanco PM, Brown JB, Puyana JC, Billiar TR, Peitzman AB, Sperry JL. The swinging pendulum: a national perspective of nonoperative management in severe blunt liver injury. J Trauma Acute Care Surg. 2013;75(4):590–5. doi:10.1097/TA.0b013e3182a53a3e.
37. Carrillo EH, Spain DA, Wohltmann CD, Schmieg RE, Boaz PW, Miller FB, et al. Interventional techniques are useful adjuncts in nonoperative management of hepatic injuries. J Trauma. 1999;46(4):619–22 (discussion 22–24).
38. Goldman R, Zilkoski M, Mullins R, Mayberry J, Deveney C, Trunkey D. Delayed celiotomy for the treatment of bile leak, compartment syndrome, and other hazards of nonoperative management of blunt liver injury. Am J Surg. 2003;185(5):492–7.
39. Fang JF, Chen RJ, Wong YC, Lin BC, Hsu YB, Kao JL, et al. Pooling of contrast material on computed tomography mandates aggressive management of blunt hepatic injury. Am J Surg. 1998;176(4):315–9.
40. Fang JF, Wong YC, Lin BC, Hsu YP, Chen MF. The CT risk factors for the need of operative treatment in initially hemodynamically stable patients after blunt hepatic trauma. J Trauma. 2006;61(3):547–53. doi:10.1097/01.ta.0000196571.12389.ee (discussion 53–54).
41. Croce MA, Fabian TC, Menke PG, Waddle-Smith L, Minard G, Kudsk KA, et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial. Ann Surg. 1995;221(6):744–53 (discussion 53–55).
42. Ciraulo DL, Luk S, Palter M, Cowell V, Welch J, Cortes V, et al. Selective hepatic arterial embolization of grade IV and V blunt hepatic injuries: an extension of resuscitation in the nonoperative management of traumatic hepatic injuries. J Trauma. 1998;45(2):353–8 (discussion 8–9).
43. Huang YC, Wu SC, Fu CY, Chen YF, Chen RJ, Hsieh CH, et al. Tomographic findings are not always predictive of failed nonoperative management in blunt hepatic injury. Am J Surg. 2012;203(4):448–53. doi:10.1016/j.amjsurg.2011.01.031.
44. Letoublon C, Morra I, Chen Y, Monnin V, Voirin D, Arvieux C. Hepatic arterial embolization in the management of blunt hepatic trauma: indications and complications. J Trauma. 2011;70(5):1032–6. doi:10.1097/TA.0b013e31820e7ca1 (discussion 6–7).
45. Misselbeck TS, Teicher EJ, Cipolle MD, Pasquale MD, Shah KT, Dangleben DA, et al. Hepatic angioembolization in trauma patients: indications and complications. J Trauma. 2009;67(4):769–73. doi:10.1097/TA.0b013e3181b5ce7f.
46. Mohr AM, Lavery RF, Barone A, Bahramipour P, Magnotti LJ, Osband AJ, et al. Angiographic embolization for liver injuries: low mortality, high morbidity. J Trauma. 2003;55(6):1077–81. doi:10.1097/01.TA.0000100219.02085.AB (discussion 81–82).
47. Abdelrahman H, Ajaj A, Atique S, El-Menyar A, Al-Thani H. Conservative management of major liver necrosis after angioembolization in a patient with blunt trauma. Case Rep Surg. 2013;2013:954050. doi:10.1155/2013/954050.
48. Dabbs DN, Stein DM, Philosophe B, Scalea TM. Treatment of major hepatic necrosis: lobectomy versus serial debridement. J Trauma. 2010;69(3):562–7. doi:10.1097/TA.0b013e3181ebf591.
49. Kanakis MA, Thomas T, Martinakis VG, Brountzos E, Varsamidakis N. Successful management of severe blunt hepatic trauma by angiographic embolization. Updates Surg. 2012;64(4):303–6. doi:10.1007/s13304-011-0122-3.
50. Wahl WL, Brandt MM, Hemmila MR, Arbabi S. Diagnosis and management of bile leaks after blunt liver injury. Surgery. 2005;138(4):742–7. doi:10.1016/j.surg.2005.07.021 (discussion 7–8).
51. Yuan KC, Wong YC, Fu CY, Chang CJ, Kang SC, Hsu YP. Screening and management of major bile leak after blunt liver trauma: a retrospective single center study. Scand J Trauma Resusc Emerg Med. 2014;22(1):26. doi:10.1186/1757-7241-22-26.
52. Bala M, Gazalla SA, Faroja M, Bloom AI, Zamir G, Rivkind AI, et al. Complications of high grade liver injuries: management and outcomewith focus on bile leaks. Scand J Trauma Resusc Emerg Med. 2012;20:20. doi:10.1186/1757-7241-20-20.
53. Singh V, Narasimhan KL, Verma GR, Singh G. Endoscopic management of traumatic hepatobiliary injuries. J Gastroenterol Hepatol. 2007;22(8):1205–9. doi:10.1111/j.1440-1746.2006.04780.x.
54. Carrillo EH, Reed DN Jr, Gordon L, Spain DA, Richardson JD. Delayed laparoscopy facilitates the management of biliary peritonitis in patients with complex liver injuries. Surg Endosc. 2001;15(3):319–22. doi:10.1007/s004640000300.
55. Letoublon C, Chen Y, Arvieux C, Voirin D, Morra I, Broux C, et al. Delayed celiotomy or laparoscopy as part of the nonoperative management of blunt hepatic trauma. World J Surg. 2008;32(6):1189–93. doi:10.1007/s00268-007-9439-y.
56. Pilgrim CH, Usatoff V. Role of laparoscopy in blunt liver trauma. ANZ J Surg. 2006;76(5):403–6. doi:10.1111/j.1445-2197.2006.03731.x.
57. Pearl LB, Trunkey DD. Compartment syndrome of the liver. J Trauma. 1999;47(4):796–8.
58. Devakumar Murugesan S, Sathyanesan J, Lakshmanan A, Ramaswami S, Perumal S, Ulagendra Perumal S, et al. Massive hemobilia: a diagnostic and therapeutic challenge. World J Surg. 2014;. doi:10.1007/s00268-013-2435-5.
59. Green MH, Duell RM, Johnson CD, Jamieson NV. Haemobilia. Br J Surg. 2001;88(6):773–86. doi:10.1046/j.1365-2168.2001.01756.x.
60. Srivastava DN, Sharma S, Pal S, Thulkar S, Seith A, Bandhu S, et al. Transcatheter arterial embolization in the management of hemobilia. Abdom Imaging. 2006;31(4):439–48. doi:10.1007/s00261-005-0392-7.
61. Buckman RF Jr, Miraliakbari R, Badellino MM. Juxtahepatic venous injuries: a critical review of reported management strategies. J Trauma. 2000;48(5):978–84.
62. Li Petri S, Gruttadauria S, Pagano D, Echeverri GJ, Di Francesco F, Cintorino D, et al. Surgical management of complex liver trauma: a single liver transplant center experience. Am Surg. 2012;78(1):20–5.
63. Baumgartner F, Scudamore C, Nair C, Karusseit O, Hemming A. Venovenous bypass for major hepatic and caval trauma. J Trauma. 1995;39(4):671–3.
64. Gillmore D, McSwain NE Jr, Browder IW. Hepatic trauma: to drain or not to drain? J Trauma. 1987;27(8):898–902.
65. Mohseni S, Talving P, Kobayashi L, Kim D, Inaba K, Lam L, et al. Closed-suction drain placement at laparotomy in isolated solid organ injury is not associated with decreased risk of deep surgical site infection. Am Surg. 2012;78(10):1187–91.
66. Mullins RJ, Stone HH, Dunlop WE, Strom PR. Hepatic trauma: evaluation of routine drainage. South Med J. 1985;78(3):259–61.
67. Noyes LD, Doyle DJ, McSwain NE Jr. Septic complications associated with the use of peritoneal drains in liver trauma. J Trauma. 1988;28(3):337–46.
68. Dabbs DN, Stein DM, Scalea TM. Major hepatic necrosis: a common complication after angioembolization for treatment of high-grade liver injuries. J Trauma. 2009;66(3):621–7. doi:10.1097/TA.0b013e31819919f2 (discussion 7–9).
69. Anand RJ, Ferrada PA, Darwin PE, Bochicchio GV, Scalea TM. Endoscopic retrograde cholangiopancreatography is an effective treatment for bile leak after severe liver trauma. J Trauma. 2011;71(2):480–5. doi:10.1097/TA.0b013e3181efc270.