Hybrid minimally invasive surgery for blunt liver injury: clinical observation
https://doi.org/10.17238/2072-3180-2025-1-156-162
Abstract
Introduction. Currently, the number of patients with the solid abdominal organ trauma does not tend to decrease. Liver and spleen trauma continues to occupy the second place in the structure of blunt abdominal trauma.
The purpose of the study. To improve the results of treatment of patients with blunt liver trauma using hybrid surgical interventions.
Materials and methods of research. The article presents a clinical observation of a 38-year-old patient with a diagnosis of isolated blunt liver trauma of the II degree according to AAST, posttraumatic aneurysm of the S6 segment of the liver, hemoperitoneum 1050 ml.
Results. The patient with a liver injury with difficult localization underwent hybrid surgery superselective endovascular embolization of the arterial branch containing an pseudoaneurysm, and diagnostic video laparoscopy with lavage and drainage of the abdominal cavity. There were no postoperative complications. The length of hospital stay was 5 days.
Conclusion. The use of hybrid surgical access for liver injury made it possible to reduce the level of surgical aggression and speed up social and labor rehabilitation.
About the Authors
M. M. Rogal
State budgetary healthcare institution N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Rogal Mikhail Mikhailovich, MD, surgeon, research associate, Department of Emergency Surgery, Endoscopy and Intensive Care
129090, Bol'shaya Sukharevskaya Ploshchad', 3, Moscow
P. A. Yartsev
State budgetary healthcare institution N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Yartsev Petr Andreevich, Doctor of Medical Sciences, Professor, Head of the Scientific Department of Emergency Surgery, Endoscopy and Intensive Care
129090, Bol'shaya Sukharevskaya Ploshchad', 3, Moscow
A. G. Lebedev
State budgetary healthcare institution N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Lebedev Alexander Georgievich, MD, Chief Scientific Officer, Department of Emergency Surgery, Endoscopy and Intensive Care
129090, Bol'shaya Sukharevskaya Ploshchad', 3, Moscow
N. A. Stinskaya
State budgetary healthcare institution N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Stinskaya Nadezhda Aleksandrovna, researcher
129090, Bol'shaya Sukharevskaya Ploshchad', 3, Moscow
T. E. Kim
State budgetary healthcare institution N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Kim Tatyana Evgenyevna, surgeon, researcher, Department of Emergency Surgery
129090, Bol'shaya Sukharevskaya Ploshchad', 3, Moscow
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Review
For citations:
Rogal M.M., Yartsev P.A., Lebedev A.G., Stinskaya N.A., Kim T.E. Hybrid minimally invasive surgery for blunt liver injury: clinical observation. Moscow Surgical Journal. 2025;(1):156-162. (In Russ.) https://doi.org/10.17238/2072-3180-2025-1-156-162
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