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April 1977

Postoperative Treatment of Patients After Liver Resection for TraumaA Follow-up Study

Author Affiliations

From the Department of Surgery-Trauma Center, University of California at the San Francisco General Hospital.

Arch Surg. 1977;112(4):429-435. doi:10.1001/archsurg.1977.01370040081013

• In the last ten years, 89 hepatic resections were performed for trauma. Thirty-three patients survived and were followed up for one month to seven years: 15 patients had right lobectomy, nine left lobectomy, and nine left lateral segmentectomy. Complications were primarily pulmonary. All patients had transient derangement of liver function tests, but only three patients had liver dysfunction. Long-term follow-up showed no ill effects from the liver resection. Important postoperative treatment includes (1) adequate dependent drainage, (2) maintenance of blood volume, (3) intravenous albumin and glucose, (4) adequate nutritional support, and (5) selective use of intravenous glucagon.

(Arch Surg 112:429-435, 1977)