Abstract: Objective To explore the value of damage control surgery(DCS)concept in the hepatorrhexis patients in emergency department. Methods A total of 32 hepatorrhexis patients receiving routine treatment were selected in control group, and 46 hepatorrhexis patients with treatment based on DCS concept were selected as observation group. The general information, therapeutic outcomes and the clinical indexes related to operation in two groups were compared. Results The general information in two groups showed no statistical difference(P>0.05). The conservative treatment rate and surgical cure rate in the observation group were significantly higher, and the postoperative mortality rate and complication rate were significantly lower than those in the control group(P<0.05). The clinical indexes related to operation in two groups showed no statistical differences(P>0.05). Conclusion DCS concept applied in the hepatorrhexis patients could not only improve the conservative treatment rate and surgical cure rate, and reduce the incidence of postoperative complications and mortality rate.