Bile duct injuries associated with vascular injuries in laparoscopic cholecystectomy
10.3760/cma.j.issn.1007-8118.2011.08.034
- VernacularTitle:腹腔镜胆囊切除胆管合并血管损伤
- Author:
Jixiang ZHANG
;
Xunru CHEN
- Publication Type:Journal Article
- Keywords:
Laparoscopic cholecystectomy;
Bile duct injury;
Vascular lesion;
Reconstruction of the vascular
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(8):688-690
- CountryChina
- Language:Chinese
-
Abstract:
Vascular injury is a severe complication when combined with biliary injuries in laparoscopic cholecystectomy. The most frequent injury is damage to the right branch of the hepatic artery. The incidence ranges between 6. 7% and 61.1%. When bile duct transection is combined with vascular injury, the clinical course is complicated by liver ischaemia or necrosis, biliary stricture, and liver lobar atrophy which sometimes necessitating liver resection or even transplantation. Reconstruction of vascular injury is helpful when the injury is identified early.
