Surgical Management of Solid Organ Injuries

被引：24

作者：

Johnsen, Niels V. ^{[1
]}

Betzold, Richard D. ^{[2
]}

Guillamondegui, Oscar D. ^{[2
]}

Dennis, Bradley M. ^{[2
]}

Stassen, Nicole A. ^{[3
]}

Bhullar, Indermeet ^{[4
]}

Ibrahim, Joseph A. ^{[4
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Dept Urol Surg, Urol Surg, A-1302 Med Ctr North, Nashville, TN 37232 USA

[2] Vanderbilt Univ, Med Ctr, Dept Surg, Div Trauma,Surg Crit Care,Emergency Gen Surg, 1211 21st Ave South,404 Med Arts Bldg, Nashville, TN 37212 USA

[3] Univ Rochester, Kessler Family Burn Trauma Intens Care Unit, Surg Crit Care Fellowship & Surg Subinternship, 601 Elmwood Ave,Box Surg, Rochester, NY 14642 USA

[4] Orlando Reg Med Ctr Inc, Orlando Hlth Phys Surg Grp, 86 West Underwood,Suite 201, Orlando, FL 32806 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2017年 / 97卷 / 05期

关键词：

Spleen trauma; Liver trauma; Pancreas trauma; Kidney trauma; Hepatic injury; Renal injury; Angioembolization; BLUNT SPLENIC INJURY; SURGERY-OF-TRAUMA; ENDOSCOPIC RETROGRADE PANCREATOGRAPHY; MULTIDETECTOR COMPUTED-TOMOGRAPHY; TRANSCATHETER ARTERIAL EMBOLIZATION; PANCREATIC-DUCT INJURY; COMPLEX LIVER-INJURIES; RENAL GUNSHOT WOUNDS; NONOPERATIVE MANAGEMENT; HEPATIC-TRAUMA;

D O I：

10.1016/j.suc.2017.06.013

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Surgery used to be the treatment of choice in patients with solid organ injuries. This has changed over the past 2 decades secondary to advances in noninvasive diagnostic techniques, increased availability of less invasive procedures, and a better understanding of the natural history of solid organ injuries. Now, nonoperative management (NOM) has become the initial management strategy used for most solid organ injuries. Even though NOM has become the standard of care in patients with solid organ injuries in most trauma centers, surgeons should not hesitate to operate on a patient to control life-threatening hemorrhage.

引用

页码：1077 / +

页数：30

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