Leberverletzungen lassen sich in 6 Schweregrade einteilen, schwere Leberverletzungen sind auch heute noch mit einer Letalität von bis zu 60% behaftet. Chirurgische Versorgung von tiefen Leberverletzungen erfordert die übersichtliche Darstellung der Leberruptur mit anschlieβender gezielter Blutstillung im Leberparenchym. In unübersichtlicher Situation hat die Lebertamponade mit Bauchtüchern nach wie vor ihren Platz, da sie den Patienten vor dem Verblutungstod bewahren kann. Schwierig ist das Erkennen einer Gallenwegsverletzung. Der anzustrebenden Direktnaht des Gallenganges über einer separat in den Gallengang eingelegten T-Drainage steht eine hohe Rate an Gallengangsstrikturen gegenüber.

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