High-grade liver injury: outcomes with a trauma surgery-liver surgery collaborative approach.

ABSTRACT:

Background

Operative mortality for high-grade liver injury (HGLI) remains 42% to 66%, with near-universal mortality after retrohepatic caval injury. The objective of this study was to evaluate mortality and complications of operative and nonoperative management (OM and NOM) of HGLI at our institution, characterized by a trauma surgery-liver surgery collaborative approach to trauma care.

Methods

This was an observational cohort study of adult patients (age ≥16) with HGLI (The American Association for Surgery of Trauma (AAST) grades IV and V) admitted to an urban level I trauma center from January 2010 to November 2021. Data were obtained from the electronic medical record and state trauma registry. Patients were categorized by management strategy: immediate OM or planned NOM.

SUBMITTER: Ramos-Jimenez RG 

PROVIDER: S-EPMC11749442 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature