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KMID : 0376119740010010065
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Medical Journal of the Red Cross Hospital
1974 Volume.1 No. 1 p.65 ~ p.71
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Hepatic Artery Ligation as One of the Surgical Procedures for the Traumatic Liver Laceration and Hemobilia
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孫鍾夏/Son, Jong-Ha
咸泰元/林敏一/裵振善/韓萬靑/Haham, Tae-Won/Lim, Min-Il/Bae, Jin-Sun/Han, Man-Chung
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Abstract
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Two cases of profuse liver bleeding and one combined with hemobilia due to traumatic liver laceration were treated surgically by method of hepatic artery legation in the last two years and a half. at the Seoul Red Cross Hospital.
1) The common hepatic artery was legated in one case, and the proper hepatic arteries in the other cases.
2) There was no death and all were discharged from the hospital with cure.
3) The author confirmed a fact, that the liver parenchyma could survive with portal venous blood alone irrespective of intentional occlusion of the proper hepatic artery in human beings as literatures were reviewed.
4) Literatures report 26 hepatic collateral circulations. The selective splanchnic arteriography in our patients showed formation of collateral arterial circulation between the gastroduodenal artery and the proper hepatic artery in the case of the common hepatic artery ligation, and between the inferior phrenic artery and the left hepatic artery in the case of the proper hepatic artery legation.
5) The postoperative changes of liver function were mild and transient.
6) Hepatic artery legation may be a simple and useful surgical procedure for traumatic liver
laceration in which hepatic lobectomy can not be performed due to profuse liver parenchymal bleeding and shock etc.
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