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.
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Acknowledgements
Wu Wenjian, Peng Chao, and Liu Chun participated in saving the patient. Xu Qiang looked after the patient. Zhou Xiaolong analyzed data.
Authors’ Contributions
Jiang O and Liu Yu contributed the same work to this study. Cheng NS was the guarantor and designed the research. Jiang O and Liu Yu performed the research.
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Ou, J., Yu, L. & Nan-Sheng, C. Ligation of the Left Hepatic Duct and Proper Hepatic Artery Following a Traffic Accident Injury. Indian J Surg 79, 461–463 (2017). https://doi.org/10.1007/s12262-017-1608-0
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DOI: https://doi.org/10.1007/s12262-017-1608-0