Iatrogenic Combined Bile Duct and Right Hepatic Artery Injury During Single Incision Laparoscopic CholecystectomyReportar como inadecuado




Iatrogenic Combined Bile Duct and Right Hepatic Artery Injury During Single Incision Laparoscopic Cholecystectomy - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal Title:

Journal of the Society of Laparoendoscopic Surgeons

Volume:

Volume 14, Number 2

Publisher:

Society of Laparoendoscopic Surgeons | 2010-04-01, Pages 268-271

Type of Work:

Article | Final Publisher PDF

Abstract: Background: Numerous recent reports describe the performance of laparoscopic procedures through a single incision. Although the feasibility of this approach for a variety of procedures is currently being established, little data are available regarding safety. Case Report: A 65-year-old female patient who was transferred from an outside institution had undergone a single incision laparoscopic cholecystectomy that resulted in biliary tract and vascular injuries. Methods: The patient was transferred with a known bile duct injury on the first postoperative day following single incision laparoscopic cholecystectomy. Review of her magnetic resonance imaging and percutaneous transhepatic cholangiogram studies showed a Bismuth type 3 bile duct injury. Hepatic angiogram demonstrated an occlusion of the right hepatic artery with collateralization from the left hepatic artery. She was initially managed conservatively with a right-sided external biliary drain, followed 6 weeks later by a Hepp-Couinaud procedure to reconstruct the biliary tract. Conclusion: As new techniques evolve, it is imperative that safety, or potential side effects, or both safety and side effects, be monitored, because no learning curve is established for these new techniques. In these initial stages, surgeons should have a low threshold to add additional ports when necessary to ensure that procedures are completed safely.

Keywords: Life Sciences and Biomedicine - Surgery - Single incision surgery - Single port cholecystectomy - Iatrogenic bile duct injury - Combined iatrogenic biliary tract and vascular injury - VASCULAR INJURIES - BILIARY INJURY - SURGERY SILS - MANAGEMENT - PORT - COMPLICATIONS - CONSEQUENCES - MECHANISM -



Autor: Amareshwar Chiruvella, Juan Sarmiento, John Sweeney, Edward Lin, S. Davis Jr,

Fuente: https://open.library.emory.edu/



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