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Laparoscopic repair for intraoperative injury of the right hepatic artery during cholecystectomy
Author(s) -
Fujioka Shuichi,
Fuke Azusa,
Funamizu Naotake,
Nakayoshi Tomoko,
Okamoto Tomoyoshi,
Yanaga Katsuhiko
Publication year - 2015
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12151
Subject(s) - medicine , pseudoaneurysm , surgery , forceps , cholecystectomy , laparoscopic cholecystectomy , complication , artery , cystic artery , cystic duct
Right hepatic artery ( RHA ) injury is a complication that occurs during laparoscopic cholecystectomy, which can sometimes cause hepatic artery pseudoaneurysm or ischemic hepatic necrosis. Therefore, RHA should be managed carefully. Herein, we report a case of intraoperative RHA injury that was successfully repaired during laparoscopic cholecystectomy. Bleeding was controlled prior to the cholecystectomy with vascular clamp forceps that had been inserted through an additional trocar, and repair of the RHA injury was then performed laparoscopically. The postoperative course was uneventful, and patency of the RHA and its sectional arteries were confirmed by CT arteriography. Laparoscopic repair of minor RHA injuries can be managed safely if bleeding is adequately controlled.