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Ligation of the Left Hepatic Duct and Proper Hepatic Artery Following a Traffic Accident Injury

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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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Authors and Affiliations

  1. Department of Biliary Surgery, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China

    Jiang Ou & Cheng Nan-Sheng

  2. Department of Surgical Oncology, The Second People’s Hospital of Neijiang, Neijiang, Sichuan Province, 641100, China

    Liu Yu

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

    Cheng Nan-Sheng

Authors
  1. Jiang Ou
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  2. Liu Yu
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  3. Cheng Nan-Sheng
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Correspondence to Cheng Nan-Sheng.

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The authors declare that they have no conflict of interest.

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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

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