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KMID : 0371319710130050051
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Journal of the Korean Surgical Society
1971 Volume.13 No. 5 p.51 ~ p.56
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Clinical Study on Traumatic Injury of the Liver
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李海求/Lee, Hai Koo
崔亨吉/朴東元/朴丁樹/朴基一/Choi, Hyung Kil/Park, Dong Won/Park, Jung Soo/Park, Ki Il
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Abstract
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Liver injuries from trauma is rising day by day. Violence in the Cities and high speed highway
accidents are the most important contributing factors in Civilian cases whereas penetrating, high
velocity missile wounds account for the largest part of the Military experience.
A clinical study was made on 55 cases of Traumatic Liver Injury at Department of General
Surgery, Capital Army Hospital from Jan. 1966 to July 1970.
1) 55 cases were composed of 15 cases (27.2%) by closed injury and 40 cases (72.7%) by open
injury.
2) Sites of injury were right lobe in 39 cases, left lobe in 9 cases and both lobes in 7 cases.
3) Of the 55 cases, 48 cases were combined with other visceral injury. According to other
injured orgam, stomach (20 cases) was most common, next diaphragm (19 cases) and chest (18
cases).
4) Extensive debridement or partial resection was carried out on 7 cases of severely injured
liver.
5) Postoperative complication was occured on 26 cases(47.2%) including 19 cases(73.0%) of
infection and sepsis.
6) The prognosis was markedly influenced by the grade of liver injury and number of organs of
associated injury.
Over-all mortality was 27.2% (15 death). There was no death on liver injury alone, but 8.3%
mortality on liver injury with one associated organ injury, 26.6% on liver injury with 2 organs,
43.8% on liver with 3 or 4 organs, and 60% on 5 more organs.
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