Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko182510.18499/2070-478X-2025-18-1-48-67Review of literatureОбзор литературыResearch ArticleBlunt liver trauma: from non-operative management to transplantation. Systematic review and meta-analysis. Part I: primary control point - mortalityЗакрытая травма печени: от неоперативного ведения до трансплантации. Систематический обзор и мета-анализ. Часть I: первичная контрольная точка - летальностьAleksandrovVasiliy VАлександровВасилий Владимирович
Russian Federation

Ph.D., Docent, associate Professor of the Department of Hospital surgery

к.м.н., доцент, доцент кафедры госпитальной хирургии

79178304989@yandex.ruMaskinSergey S.МаскинСергей Сергеевич
Russian Federation

M.D., Professor, head of the Department of Hospital surgery

д.м.н., профессор, заведующий кафедрой госпитальной хирургии

maskins@bk.ruMatyukhinViktor V.МатюхинВиктор Викторович
Russian Federation

Ph.D., Docent, associate Professor of the Department of Hospital surgery

к.м.н., доцент, доцент кафедры госпитальной хирургии

victor.matyukhin@gmail.comKorovinAlexander Ya.КоровинАлександр Яковлевич
Russian Federation

M.D., Professor, Professor of the Department of Faculty and Hospital Surgery

д.м.н., профессор, профессор кафедры факультетской и госпитальной хирургии

kuman52@mail.ruSigaevSergey M.СигаевСергей Михайлович
Russian Federation

Applicant of the Department of Hospital surgery

соискатель кафедры госпитальной хирургии

sersigaeff@yandex.ruBiriulevDmitriy S.БирюлевДмитрий Сергеевич
Russian Federation

Applicant of the Department of Hospital surgery

соискатель кафедры госпитальной хирургии

Kotovo111083@yandex.ruRachidAzadРашидАзад
Russian Federation

Applicant of the Department of Hospital surgery

соискатель кафедры госпитальной хирургии

azad92rasheed@gmail.comVolgograd State Medical UniversityВолгоградский государственный медицинский университетKuban State Medical UniversityКубанский государственный медицинский университетFSBEI HE VolgSMU MOH RussiaВолгоградский государственный медицинский университет14032025181486722062024Copyright ©; 2025, Voronezh N.N. Burdenko State Medical UniversityCopyright ©; 2025, ФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава России2025Voronezh N.N. Burdenko State Medical UniversityФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава Россииhttps://vestnik-surgery.com/journal/about/editorialPolicieshttps://vestnik-surgery.com/journal/article/view/1825

Introduction. The high incidence of blunt liver injuries, general and postoperative mortality necessitate a search for optimal treatment options of the condition.

Аim. To conduct a systematic literature review and meta-analysis and compare various treatment options for patients with blunt liver injury.

Methods. A systematic search for non–randomized studies was conducted from 01 October 2015, a systematic search for randomized studies was conducted without time limits, until February 29, 2024.

Results. There is a clear trend towards non-surgical management of hemodynamically stable or stabilized patients, and in case of hemodynamic instability, the use of liver tamponade followed by angioembolization.

Conclusion. A larger number of well-planned randomized clinical trials are required to concretize the surgical approach to patients with liver injury.

Актуальность. Высокая частота встречаемости закрытых повреждений печени, общая и послеоперационная летальность диктуют необходимость поиска оптимальных вариантов лечения пациентов.

Цель. Провести систематический обзор литературы и мета-анализ по сравнительной оценке различных вариантов лечения пациентов с закрытой травмой печени.

Методы. Систематический поиск нерандомизированных исследований проведен с 01 октября 2015 г., а рандомизированных – без временных ограничений, по 29 февраля 2024 г.

Результаты. Просматривается отчетливая тенденция к неоперативному ведению гемодинамически стабильных или стабилизированных пациентов, а при гемодинамической нестабильности - использование тампонады печени с последующей ангиоэмболизацией.

Заключение. Требуется большее количество хорошо спланированных рандомизированных клинических исследований для конкретизации лечебного подхода к пострадавшим с повреждениями печени.

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