Citation

Ou J, Yu L, Nan-Sheng C. Indian J. Surg. 2017; 79(5): 461-463.

Affiliation

Department of Biliary Surgery, West China Medical Center of Sichuan University, No. 37 Guo Xue Valley, Chengdu, Sichuan Province 610041 China.

Copyright

(Copyright © 2017, Springer India)

DOI

10.1007/s12262-017-1608-0

PMID

29089711

PMCID

PMC5653581

Abstract

A 32-year-old man was admitted to our hospital due to a traffic accident. Intraoperative observations revealed hemoperitoneum, splenic transection, pancreatic tail contusion, comminuted injury in the porta hepatis, rupture in the left hepatic duct, an irregular crevasse in the ductus hepaticus communis, the caudate lobe was transversely broken on the left, and under the gap, there was a fracture in retrohepatic inferior vena cava with huge retroperitoneal hematoma. We carried out a ligation of the left hepatic duct and the proper hepatic artery. Postoperation, the man recovered smoothly. At 5 years and 5 months postoperation, MRI showed that the left liver had atrophied partly. So, we consider that the ligation of the left hepatic duct is a safe procedure for patients without cirrhosis under the conditions of ligation of the proper hepatic artery.

Language: en

Keywords

Emergency operation; Hepatic duct; Laparotomy; Ligation; Proper hepatic artery