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Jack Pickleman, MD; George E. Block, MD, MS (Surg)

AMA Arch Surg. 1973;106(4):402-406.

Abstract
The authors describe three patients who suffered penetrating wounds of the liver with low-velocity bullets. They treated the wounds successfully with hepatostomy tubes which were kept on suction for 7 to 12 days. They did choledochostomies on two of the patients. Results with these patients, and others they have treated, have convinced them that the hepatostomy tube, as opposed to liver resection, is indicated for this type of low-velocity wound or for single stab wounds. Choledochostomy is indicated only in the more severe instances of liver injury, those involving the porta hepatis, or in those requiring major hepatic resection.

Author Affiliations
Chicago

From the Department of Surgery, University of Chicago Hospitals and Clinics.

Footnotes
Accepted for publication Dec 15, 1972.

Read before the 80th annual meeting of the Western Surgical Association, Rochester, Minn, Nov 16, 1972.

Reprint requests to 950 E 59th St, Chicago 60637 (Dr. Block).

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ABSTRACT