| Title: |
Emergency liver resection for combined biliary and vascular injury following laparoscopic cholecystectomy: Case report and review of the literature |
| Authors: |
Felekouras, Evangelos; Megas, Thomas; Michail, Othon P.; Papaconstantinou, Ioannis; Nikiteas, Nikolaos; Dimitroulis; Dimitrios; Griniatsos, John; Tsechpenakis, Anastasios; Kouraklis, Gregorios |
| Publisher Information: |
2007 |
| Document Type: |
Electronic Resource |
| Abstract: |
A 75-year-old woman suffering from symptomatic cholelithiasis was admitted to our hospital for elective laparoscopic cholecystectomy (LC). Intraoperatively, because of severe inflammation and dense adhesions in the region of the Calot triangle and bleeding arising from the porta hepatis which obscured the operating field, the method was converted to a conventional open approach. Copious hemostasis was achieved using sutures, clips and diathermy, and no bile duct or vascular injuries were recognized intraoperatively. Because of severe right upper quadrant abdominal pain and significant deterioration of the liver function tests (LFTs) on the first postoperative day, the patient underwent a Doppler ultrasound scan which showed absence of blood flow at the level of porta hepatis. Urgent relaparotomy revealed an ischemic liver on the right, a transected common bile duct at the level of its confluence, a divided and ligated right hepatic artery and thrombosed portal vein down to its confluence. Thrombectomy and reconstruction of the portal vein were performed to salvage the left hemiliver, and after restoration of blood flow to the left hemiliver, a right hemihepatectomy and a Roux-en-Y hepaticojejunostomy on the left were performed. |
| Index Terms: |
scientific_publication_article; Scientific publication - Journal Article |
| URL: |
https://pergamos.lib.uoa.gr/uoa/dl/object/3116451; https://worldcat.org/search?q=on:GRNKU+https://pergamos.lib.uoa.gr/uoa/dl/frontend/oaipmh+scientific_publication_article+CNTCOLL |
| Availability: |
Open access content. Open access content; Creative Commons Attribution-NonCommercial 4.0 (CC-BY-NC) |
| Note: |
English |
| Other Numbers: |
GRNKU oai:lib.uoa.gr:uoadl:3116451; uoadl:3116451; 1478834911 |
| Contributing Source: |
NATIONAL & KAPODISTRIAN UNIV OF ATHENS; From OAIster®, provided by the OCLC Cooperative. |
| Accession Number: |
edsoai.on1478834911 |
| Database: |
OAIster |