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Abstract
Even today major hepatic trauma remains a formidable surgical challenge with considerable
deaths from exasanguination. Apart from conservative operative techniques that allow
successful management in most cases, liver transplantation may be indicated in a more
severe injury. This is a report on a patient with massive, unsalvageable liver trauma
on whom the first two-staged procedure was successfully performed. After total hepatectomy
as the first step and a prolonged anhepatic period of more than 14 hours, liver replacement
by an allograft was carried out in a second operation. The patient recovered completely
from the potentially lethal hepatic trauma and is alive more than 17 months later.
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Article info
Publication history
Accepted:
June 28,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
