Hybrid minimally invasive surgery for blunt liver injury: clinical observation

Introduction. Currently, the number of patients with the solid abdominal organ trauma does not tend to decrease. Liver and spleen trauma continues to occupy the second place in the structure of blunt abdominal trauma.The purpose of the study. To improve the results of treatment of patients with blunt liver trauma using hybrid surgical interventions.Materials and methods of research. The article presents a clinical observation of a 38-year-old patient with a diagnosis of isolated blunt liver trauma of the II degree according to AAST, posttraumatic aneurysm of the S6 segment of the liver, hemoperitoneum 1050 ml.Results. The patient with a liver injury with difficult localization underwent hybrid surgery superselective endovascular embolization of the arterial branch containing an pseudoaneurysm, and diagnostic video laparoscopy with lavage and drainage of the abdominal cavity. There were no postoperative complications. The length of hospital stay was 5 days.Conclusion. The use of hybrid surgical access for liver injury made it possible to reduce the level of surgical aggression and speed up social and labor rehabilitation.