AUTHOR=Zhang Dan , Tan Ming-Da , Zheng Ming-You , Wang Huai-Zhi , Xiao Lin-Kang TITLE=Management of liver trauma by laparoscopy using infrahepatic inferior vena cava partial clamping: A case report JOURNAL=Frontiers in Surgery VOLUME=9 YEAR=2023 URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.1018953 DOI=10.3389/fsurg.2022.1018953 ISSN=2296-875X ABSTRACT=

Liver trauma with hemodynamic instability is extremely dangerous. Exploratory surgery after fluid resuscitation is a potentially effective method to save lives. Although there have been great advances in laparoscopic techniques for hepatectomy, laparoscopy is rarely used for liver trauma. According to our previous experience, laparoscopic infrahepatic inferior vena cava (IVC) clamping was a safe and effective technique to reduce central venous pressure (CVP) and control bleeding during hepatectomy. In this article, we described a case of grade V liver trauma that had been managed by an entirely laparoscopic approach using infrahepatic IVC partial clamping, outlining the technique of laparoscopy for liver trauma and the postoperative outcomes.