Il trauma epatico: dal trattamento conservativo al trapianto di fegato Analisi di centro

By this study, the results of our treated hepatic trauma patients are conformed to international applicative standards. Particular technologycal aspects than interventistic radiological procedures, surgeon techniques, emergency laparoscopic approach as hepidemiologic or ethyopatogenetic aspects, "golden hour" treatment and other clinical aspects are determinant for successful management of hepatic trauma. Apart from non operative treatment in patients with not complex injuries and hemodynamic clinical stability, and conservative operative techniques that allow successful management in most cases, liver transplantation in severe trauma complicated with acute hepatic insufficiency and ather alternative treatment as packing or laparoscopic approach reduced morbility and mortality with improvement of survival in most of liver trauma patients