Management of blunt hepatic duct transection by ligation.
We have reported a case of blunt trauma causing major hepatic injury and disruption of the right hepatic duct. The patient was treated with resectional debridement and ligation of the right hepatic duct; he has done well, without jaundice or signs of hepatic dysfunction. We recommend lobar hepatic duct ligation when other more conventional avenues such as primary repair or biliary-enteric anastomosis are precluded by hemodynamic instability or a nonreconstructable duct.
Department of Surgery, Medical College of Georgia, Augusta 30912.
T R
TR
Howdieshell
M L
ML
Hawkins
T M
TM
Osler
G B
GB
Demarest
D000328:Adult; D001653:Bile Ducts, Intrahepatic / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008026:Ligation; D008099:Liver / Q000293:injuries / Q000601:surgery; D008297:Male; D009852:Omentum / Q000637:transplantation; D014949:Wounds, Nonpenetrating / Q000601:surgery*