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Treatment Outcomes of Non-operative Management for Traumatic Liver Injury
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- Yoshiya Shohei
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University Department of Surgery, Iizuka Hospital
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- Minagawa Ryosuke
- Department of Surgery, Iizuka Hospital
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- Itoh Shinji
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
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- Akahoshi Tomohiko
- Emergency and Critical Care Center, Kyushu University Hospital
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- Kajiyama Kiyoshi
- Department of Surgery, Iizuka Hospital
Bibliographic Information
- Other Title
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- NOM時代における外傷性肝損傷に対する治療成績
- ―NOMの適応と限界に関する検討―
Description
<p>【Background】 Today, the cornerstone of treatment for traumatic liver injury is non-operative management (NOM). This study clarified the treatment outcomes of traumatic liver injury in the NOM era. 【Method】In this multicenter study, we retrospectively analyzed the data of patients with traumatic liver injury seen from January 2010 to December 2015. 【Results】 There were 239 patients (age 39.6±23.2 years; 55 males) from 16 centers. The severity of the liver injury was classified according to the Japanese Association for the Surgery of Trauma, as Ⅰa：Ⅰb：Ⅱ：Ⅲa：Ⅲb in 38：101：24：23：53 patients. The most frequent cause was traffic injury. The first selected treatment was damage control surgery (DCS) in 11 patients, transcatheter arterial embolization (TAE) in 32 patients, and conservative treatment in 196 patients. Nine patients who initially received conservative treatment subsequently underwent TAE (n＝2), endoscopic retrograde biliary drainage (n＝1), or surgery (n＝6), and six patients who initially received interventional radiology subsequently underwent surgery. The mortality rate was 7.9％ (n＝19; death from bleeding in 8 patients and from critical injury of other organ (s) in 11 patients). The rate of late complications was 2.5％. 【Conclusion】This study clarified the treatment outcomes of traumatic liver injury in the NOM era.</p>
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 39 (7), 1179-1183, 2019-11-30
Japanese Society for Abdominal Emergency Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390285300185509376
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- NII Article ID
- 130007892619
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed
