<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Almanac of Clinical Medicine</journal-id><journal-title-group><journal-title xml:lang="en">Almanac of Clinical Medicine</journal-title><trans-title-group xml:lang="ru"><trans-title>Альманах клинической медицины</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2072-0505</issn><issn publication-format="electronic">2587-9294</issn><publisher><publisher-name xml:lang="en">Moscow Regional Research and Clinical Institute (MONIKI)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">125</article-id><article-id pub-id-type="doi">10.18786/2072-0505-2015-40-132-137</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>REVIEW ARTICLE</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОР</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">THE POSSIBILITY OF CONSERVATIVE MANAGEMENT OF BLUNT AND PENETRATING LIVER TRAUMA OF VARIOUS SEVERITY</article-title><trans-title-group xml:lang="ru"><trans-title>ВОЗМОЖНОСТЬ КОНСЕРВАТИВНОГО ВЕДЕНИЯ ЗАКРЫТОЙ И ОТКРЫТОЙ ТРАВМЫ ПЕЧЕНИ РАЗЛИЧНОЙ СТЕПЕНИ ТЯЖЕСТИ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Pankratov</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Панкратов</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Pankratov Aleksey Aleksandrovich – PhD, Assistant Lecturer, Chair of Faculty Surgery No. 21</p></bio><bio xml:lang="ru"><p>Панкратов Алексей Александрович –  кандидат медицинских наук, ассистент кафедры факультетской хирургии № 21</p></bio><email>aapankratov@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Khat'kov</surname><given-names>I. E.</given-names></name><name xml:lang="ru"><surname>Хатьков</surname><given-names>И. Е.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Khat'kov Igor' Evgen'evich – MD, PhD, Professor, Head of Chair of Faculty Surgery No. 21</p></bio><bio xml:lang="ru"><p>Хатьков Игорь Евгеньевич – доктор медицинских наук, профессор, заведующий кафедрой факультетской хирургии № 21</p></bio><email>aapankratov@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Izrailov</surname><given-names>R. E.</given-names></name><name xml:lang="ru"><surname>Израилов</surname><given-names>Р. Е.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Izrailov Roman Evgen'evich – MD, PhD, Professor, Chair of Faculty Surgery No. 21</p></bio><bio xml:lang="ru"><p>Израилов Роман Евгеньевич – доктор медицинских наук, профессор, профессор кафедры факультетской хирургии № 21</p></bio><email>aapankratov@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kapustin</surname><given-names>V. I.</given-names></name><name xml:lang="ru"><surname>Капустин</surname><given-names>В. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Kapustin Valeriy Ivanovich – PhD, Head of Department of Surgery</p></bio><bio xml:lang="ru"><p>Капустин Валерий Иванович –  кандидат медицинских наук, заведующий хирургическим отделением2</p></bio><email>aapankratov@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Mamonov</surname><given-names>D. A.</given-names></name><name xml:lang="ru"><surname>Мамонов</surname><given-names>Д. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Mamonov Dmitriy Aleksandrovich – PhD, Assistant Lecturer, Chair of Faculty Surgery No. 21</p></bio><bio xml:lang="ru"><p>Мамонов Дмитрий Александрович –  кандидат медицинских наук, ассистент кафедры факультетской хирургии № 21</p></bio><email>aapankratov@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Moscow State University of Medicine and Dentistry named after A.I. Evdokimov</institution></aff><aff><institution xml:lang="ru">Московский государственный медико-стоматологический университет&#13;
имени А.И. Евдокимова</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">City Clinical Hospital No. 68 of the Moscow City Health Department</institution></aff><aff><institution xml:lang="ru">Городская клиническая больница № 68 Департамента здравоохранения г. Москвы</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2015-08-15" publication-format="electronic"><day>15</day><month>08</month><year>2015</year></pub-date><issue>40</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>132</fpage><lpage>137</lpage><history><date date-type="received" iso-8601-date="2016-02-13"><day>13</day><month>02</month><year>2016</year></date><date date-type="accepted" iso-8601-date="2016-02-13"><day>13</day><month>02</month><year>2016</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2015, Pankratov A.A., Khat'kov I.E., Izrailov R.E., Kapustin V.I., Mamonov D.A.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2015, Панкратов А.А., Хатьков И.Е., Израилов Р.Е., Капустин В.И., Мамонов Д.А.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="en">Pankratov A.A., Khat'kov I.E., Izrailov R.E., Kapustin V.I., Mamonov D.A.</copyright-holder><copyright-holder xml:lang="ru">Панкратов А.А., Хатьков И.Е., Израилов Р.Е., Капустин В.И., Мамонов Д.А.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://almclinmed.ru/jour/article/view/125">https://almclinmed.ru/jour/article/view/125</self-uri><abstract xml:lang="en"><p>Until now, surgery is a standard  treatment strategy in liver trauma. However, continuous evolution and  improvement of imaging  and  interventional techniques open  a wide perspective  for conservative  management of liver trauma  patients. In the recent years, this method is getting  more and   more widely used  and becomes  a component of the standard  care protocols for patients  with liver trauma in tertiary centers. </p></abstract><trans-abstract xml:lang="ru"><p>До настоящего времени  оперативное лечение является стандартной тактикой при травме печени. Однако возрастающая информативность лучевых методов диагностики и развитие  интервенционных  методов лечения открывают широкие перспективы перед консервативным  ведением  пострадавших с травмой печени. В последние годы данное  направление получает все большее  распространение и входит в стандартные протоколы ведения травмы печени в специализированных центрах.</p></trans-abstract><kwd-group xml:lang="en"><kwd>liver trauma</kwd><kwd>conservative management</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>травма печени</kwd><kwd>консервативное ведение</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>1. MacKenzie EJ, Fowler CJ. Epidemiology. In: Felicjano DV, Mattox KL, Moore EE, editors. Trauma. 9 ed. New York: McGraw-Hill; 2008. p. 25–39.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>2. Todd SR. Critical concepts in abdominal injury. th Crit Care Clin. 2004;20(1):119–34.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>3. World Health Organization. Global Burden of Disease. Available from: http://www.who.int/ healthinfo/global_disease/en.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>4. Алишихов АМ, Богданов ДЮ, Матвеев НЛ. Опыт применения эндовидеохирургических технологий в диагностике и лечении торакоабдоминальной травмы. Эндоскопическая хирургия. 2010;(5):7–14.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>5. Борисов АЕ, Кубачев КГ, Кукушкин АВ, Ризаханов ДМ. Возможности эндовидеохирургии при торакоабдоминальных ранениях. Эндоскопическая хирургия. 2012;(3):15–9.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>6. Хрипун АИ, Алимов АН, Саликов АВ, Прямиков АД, Алимов ВА, Сукиасян АА, Попов ТВ, Урванцева ОМ. Органосохраняющий метод в хирургическом лечении повреждений селезенки. Хирургия. Журнал им. Н.И. Пирого- ва. 2014;(1):34–8.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>7. Cirocchi R, Boselli C, Corsi A, Farinella E, Listorti C, Trastulli S, Renzi C, Desiderio J, Santoro A, Cagini L, Parisi A, Redler A, Noya G, Fingerhut A. Is non-operative management safe and effective for all splenic blunt trauma? A sys- tematic review. Crit Care. 2013;17(5):R185. doi: 10.1186/cc12868.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>8. Beuran M, Gheju I, Venter MD, Marian RC, Smarandache R. Non-operative management of splenic trauma. J Med Life. 2012;5(1): 47–58.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>9. Di Saverio S, Moore EE, Tugnoli G, Naidoo N, Ansaloni L, Bonilauri S, Cucchi M, Catena F. Non operative management of liver and spleen traumatic injuries: a giant with clay feet. World J Emerg Surg. 2012;7(1):3. doi: 10.1186/17497922-7-3.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>10. Afaq A, Harvey C, Aldin Z, Leen E, Cosgrove D. Contrast-enhanced ultrasound in abdominal trauma. Eur J Emerg Med. 2012;19(3):140–5. doi: 10.1097/MEJ.0b013e328348c980.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>11. Clevert DA, Weckbach S, Minaifar N, Clevert DA, Stickel M, Reiser M. Contrast-enhanced ultrasound versus MS-CT in blunt abdominal trauma. Clin Hemorheol Microcirc. 2008;39(1– 4):155–69.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>12. Hessmann MH, Hofmann A, Kreitner KF, Lott C, Rommens PM. The benefit of multislice CT in the emergency room management of polytraumatized patients. Acta Chir Belg. 2006;106(5):500–7.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>13. Kuo WY, Lin HJ, Foo NP, Guo HR, Jen CC, Chen KT. Will computed tomography (CT) miss something? The characteristics and pitfalls of torso CT in evaluating patients with blunt solid organ trauma. Ulus Travma Acil Cerrahi Derg. 2011;17(3):215–9.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>14. Wurmb TE, Frühwald P, Hopfner W, Keil T, Kredel M, Brederlau J, Roewer N, Kuhnigk H. Whole-body multislice computed tomography as the first line diagnostic tool in patients with multiple injuries: the focus on time. J Trauma. 2009;66(3):658–65. doi: 10.1097/TA.0b013e31817de3f4.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>15. Wurmb TE, Quaisser C, Balling H, Kredel M, Muellenbach R, Kenn W, Roewer N, Brederlau J. Whole-body multislice computed tomography (MSCT) improves trauma care in patients requiring surgery after multiple trauma. Emerg Med J. 2011;28(4):300–4. doi: 10.1136/ emj.2009.082164.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>16. Demetriades D, Hadjizacharia P, Constantinou C, Brown C, Inaba K, Rhee P, Salim A. Selective nonoperative management of penetrating abdominal solid organ injuries. Ann Surg. 2006;244(4):620–8.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>17. Franco F, Monaco D, Volpi A, Marcato C, Larini P, Rossi C. The role of arterial embolization in blunt splenic injury. Radiol Med. 2011;116(3):454–65. doi: 10.1007/s11547-011- 0624-y.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>18. Fu CY, Wu SC, Chen RJ, Chen YF, Wang YC, Huang HC, Huang JC, Lu CW, Lin WC. Evaluation of need for operative intervention in blunt splenic injury: intraperitoneal contrast extravasation has an increased probability of requiring operative intervention. World J Surg. 2010;34(11):2745–51. doi: 10.1007/s00268010-0723-x.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>19. Miller PR, Croce MA, Bee TK, Malhotra AK, Fabian TC. Associated injuries in blunt solid organ trauma: implications for missed injury in nonoperative management. J Trauma. 2002;53(2):238–42.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>20. Morozumi J, Ohta S, Homma H, Sasaki H, Oda J, Suzuki K, Ohtaka Y, Noda M, Mishima S, Yukioka T. Introduction of mobile angiography into the trauma resuscitation room. J Trauma. 2009;67(2):245–51. doi: 10.1097/ TA.0b013e31819dcb2d.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>21. Smith J, Caldwell E, D'Amours S, Jalaludin B, Sugrue M. Abdominal trauma: a disease in evolution. ANZ J Surg. 2005;75(9):790–4.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>22. Yanar H, Ertekin C, Taviloglu K, Kabay B, Bakkaloglu H, Guloglu R. Nonoperative treatment of multiple intra-abdominal solid organ injury after blunt abdominal trauma. J Trauma. 2008;64(4):943–8. doi: 10.1097/ TA.0b013e3180342023.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>23. Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995;38(3):323–4.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>24. Pereira BM. Non-operative management of hepatic trauma and the interventional radiology: an update review. Indian J Surg. 2013;75(5):339–45. doi: 10.1007/s12262-0120712-4.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>25. Sikhondze WL, Madiba TE, Naidoo NM, Muckart DJ. Predictors of outcome in patients requiring surgery for liver trauma. Injury. 2007;38(1):65–70.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>26. Asensio JA, Petrone P, Garcia-Nunez L, Kimbrell B, Kuncir E. Multidisciplinary approach for the management of complex hepatic injuries AAST-OIS grades IV-V: a prospective study. Scand J Surg. 2007;96(3): 214–20.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>27. Velmahos GC, Toutouzas KG, Radin R, Chan L, Demetriades D. Nonoperative treatment of blunt injury to solid abdominal organs: a prospective study. Arch Surg. 2003;138(8):844–51.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>28. Gaspar B, Negoi I, Paun S, Hostiuc S, Ganescu R, Beuran M. Selective Nonoperative Management of Abdominal Injuries in Polytrauma Patients: a Protocol only for Experienced Trauma Centers. Maedica (Buchar). 2014;9(2): 168–72.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>29. Navsaria PH, Nicol AJ, Krige JE, Edu S. Selective nonoperative management of liver gunshot injuries. Ann Surg. 2009;249(4):653–6. doi: 10.1097/SLA.0b013e31819ed98d.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>30. van der Wilden GM, Velmahos GC, Emhoff T, Brancato S, Adams C, Georgakis G, Jacobs L, Gross R, Agarwal S, Burke P, Maung AA, Johnson DC, Winchell R, Gates J, Cholewczynski W, Rosenblatt M, Chang Y. Successful nonoperative management of the most severe blunt liver injuries: a multicenter study of the research consortium of new England centers for trauma. Arch Surg. 2012;147(5):423–8. doi: 10.1001/archsurg.2012.147.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>31. Inaba K, Branco BC, Moe D, Barmparas G, Okoye O, Lam L, Talving P, Demetriades D. Prospective evaluation of selective nonoperative management of torso gunshot wounds: when is it safe to discharge? J Trauma Acute Care Surg. 2012;72(4):884–91. doi: 10.1097/ TA.0b013e31824d1068.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>32. Swaid F, Peleg K, Alfici R, Matter I, Olsha O, Ashkenazi I, Givon A; Israel Trauma Group, Kessel B. Concomitant hollow viscus injuries in patients with blunt hepatic and splenic injuries: an analysis of a National Trauma Registry database. Injury. 2014;45(9):1409–12. doi: 10.1016/j.injury.2014.02.027.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>33. Sartorelli KH, Frumiento C, Rogers FB, Osler TM. Nonoperative management of hepatic, splenic, and renal injuries in adults with multiple injuries. J Trauma. 2000;49(1):56–61.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>34. Hsieh TM, Cheng Tsai T, Liang JL, Che Lin C. Non-operative management attempted for selective high grade blunt hepatosplenic trauma is a feasible strategy. World J Emerg Surg. 2014;9(1):51. doi: 10.1186/1749-7922-9-51.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>35. Petrowsky H, Raeder S, Zuercher L, Platz A, Simmen HP, Puhan MA, Keel MJ, Clavien PA. A quarter century experience in liver trauma: a plea for early computed tomography and conservative management for all hemodynamically stable patients. World J Surg. 2012;36(2):247–54. doi: 10.1007/s00268-0111384-0.</mixed-citation></ref></ref-list></back></article>
