{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T05:36:27Z","timestamp":1757309787726,"version":"3.41.2"},"reference-count":14,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT  Objective:  the aim of this study was to identify associated factors with the increased length of hospital stay for patients undergoing surgical treatment for liver trauma, and predictors of mortality as well as the epidemiology of this trauma.  Methods:  retrospective study of 191 patients admitted to the Cajuru University Hospital, a reference in the treatment of multiple trauma patients, between 2010 and 2017, with epidemiological, clinicopathological and therapeutic variables analyzed using the STATA version 15.0 program.  Results:  most of the included patients were men with a mean age of 29 years. Firearm injury represents the most common trauma mechanism. The right hepatic lobe was injured in 51.2% of the cases, and hepatorraphy was the most commonly used surgical correction. The length of hospital stay was an average of 11 (0-78) days and the length of stay in the intensive care unit was 5 (0-52) days. Predictors for longer hospital stay were the mechanisms of trauma, hemodynamic instability at admission, number of associated injuries, degree of liver damage and affected lobe, used surgical technique, presence of complications, need for reoperation and other surgical procedures. Mortality rate was 22.7%.  Conclusions:  the study corroborated the epidemiology reported by the literature. Greater severity of liver trauma and associated injuries characterize patients undergoing surgical treatment, who have increased hospital stay due to the penetrating trauma, hemodynamic instability, hepatic packaging, complications and reoperations.<\/jats:p>","DOI":"10.1590\/0100-6991e-20202874","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T11:29:53Z","timestamp":1616585393000},"source":"Crossref","is-referenced-by-count":1,"title":["Surgical treatment in hepatic trauma: factors associated with hospitalization time"],"prefix":"10.1590","volume":"48","author":[{"given":"PAULA DE OLIVEIRA","family":"TRINTINALHA","sequence":"first","affiliation":[{"name":"Hospital Universit\u00e1rio Cajuru,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EMANUELLA ROBERNA IN\u00c1","family":"CIRINO","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Oeste do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RENATA FERNANDA RAMOS","family":"MARCANTE","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio Cajuru,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GABRIEL RAMOS","family":"JABUR","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio Cajuru,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3973-1930","authenticated-orcid":false,"given":"PATR\u00cdCIA LONGHI","family":"BUSO","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio Cajuru,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1590\/S0100-69912013000400011","article-title":"Hepatic trauma a 21-year experience","volume":"40","author":"Zago TM","year":"2013","journal-title":"Rev Col Bras Cir"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1590\/S0100-69912008000600010","article-title":"Predictive factors of morbidity and mortality in hepatic trauma","volume":"35","author":"Di\u00f3rio AC","year":"2008","journal-title":"Rev Col Bras Cir"},{"issue":"4","key":"ref3","first-page":"225","article-title":"Hepatic trauma five years of epidemiology in an emergency department","volume":"35","author":"Stalhschmidt CMM","year":"2008","journal-title":"Rev Col Bras Cir"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.hbpd.2018.01.013","article-title":"Liver trauma what current management?","volume":"17","author":"Tarchouli M","year":"2018","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s13017-015-0030-9","article-title":"Liver trauma WSES position paper","volume":"10","author":"Coccolini F","year":"2015","journal-title":"World J Emerg Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s13017-015-0031-8","article-title":"Surgical management of AAST grades III-V hepatic trauma by damage control surgery with perihepatic packing and definitive hepatic repair-single centre experience","volume":"10","author":"Doklestic K","year":"2015","journal-title":"World J Emerg Surg"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1590\/0100-69912015004008","article-title":"Isolated liver gunshot injuries nonoperative management is feasible?","volume":"42","author":"Starling SV","year":"2015","journal-title":"Rev Col Bras Cir"},{"issue":"4","key":"ref8","first-page":"307","article-title":"Blunt hepatic trauma comparison between surgical and nonoperative treatment","volume":"39","author":"Zago TM","year":"2012","journal-title":"Rev Col Bras Cir"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.ijsu.2017.02.015","article-title":"Current approach to liver traumas","volume":"39","author":"Kaptanoglu L","year":"2017","journal-title":"Int J Surg"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1590\/0100-69912016001006","article-title":"Epidemiological evaluation of hepatic trauma victims undergoing surgery","volume":"43","author":"Kail M","year":"2016","journal-title":"Rev Col Bras Cir"},{"issue":"5","key":"ref11","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1590\/S0102-86502003000500006","article-title":"Anatomia cir\u00fargica do f\u00edgado","volume":"18","author":"Trivi\u00f1o T","year":"2003","journal-title":"Acta Cir Bras"},{"issue":"2","key":"ref12","first-page":"132","article-title":"Morbimortality in patients with hepatic trauma","author":"Fonseca-Neto OCL","year":"2013","journal-title":"ABCD Arq Bras Cir Dig"},{"issue":"1","key":"ref13","first-page":"9","article-title":"Treatment of liver trauma operative or conservative management","volume":"3","author":"Bernardo CG","year":"2010","journal-title":"Gastroenterology Res"},{"issue":"4","key":"ref14","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s00423-009-0566-9","article-title":"Balanced management of hepatic trauma is associates with low liver-relatec mortality","volume":"395","author":"Benckert C","year":"2010","journal-title":"Langenbecks Arch Surg"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"deposited":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T11:30:07Z","timestamp":1616585407000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912021000100209&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":14,"alternative-id":["S0100-69912021000100209"],"URL":"https:\/\/doi.org\/10.1590\/0100-6991e-20202874","relation":{},"ISSN":["1809-4546","0100-6991"],"issn-type":[{"type":"electronic","value":"1809-4546"},{"type":"print","value":"0100-6991"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e20202784"}}