THERAPEUTIC POTENTIALS OF LAPAROSCOPY FOR BLUNT LIVER INJURY

Abstract

Background of laparoscopic management of blunt liver injury in 13 patients (11 females and 2 males) from 2013 through 2023 is presented in the article. Laparoscopy was indicated in patients with stable hemodynamics and volume of hemoperitoneum less than 500 ml according to the ultrasound or with any volume of hemoperitoneum in case of injury more than 12h before admission. In 10 patients laparoscopic management of injuries was performed: coagulation of liver tears in 7 cases, abdominal sanation and drainage in 3 patients. In 3 cases conversion to laparotomy took postoperative patients developed (15.4%)place. 2 complications. No missed injuries were observed. 1 patient (7.7%) has died. Average hospital stay comprised 8,5 (5—105) days.