Blunt Liver Injury: from Non-Operative Management to Transplantation. Systematic Review and Meta-Analysis. Part II: Secondary Control Points

Introduction. High incidence of blunt liver injuries, a large number of postoperative complications dictate the need to find optimal treatment options for patients’ management. The aim of the study was to conduct a systematic review of the literature and meta-analysis to compare various treatment options for patients with blunt liver injury. Methods. A systematic search for non-randomized studies was conducted from October 1, 2015, a systematic search for randomized studies were conducted without time restrictions, up to February 29, 2024. Results. There is a clear trend towards non-operative management of hemodynamically stable or stabilized patients, supplemented by angioembolization if necessary. Conclusion. More adequately-designed randomized clinical trials are needed to specify the treatment approach for patients with liver injuries.