Right hepatic lobectomy for recurrent cholangitis after bile duct and hepatic artery injury during laparoscopic cholecystectomy: report of a case.
A patient is reported who required a right hepatic lobectomy for recurrent cholangitis due to injury of the major bile ducts and the right hepatic artery during laparoscopic cholecystectomy. A 39 year-old woman with acute cholecystitis underwent laparoscopic cholecystectomy. A laparotomy was performed due to a bile duct injury at the hepatic bifurcation. After surgery, she suffered from recurrent cholangitis due to inadequate biliary reconstruction. A right hepatic lobectomy and reconstruction of the left hepatic duct was required because of right hepatic lobe atrophy and recurrent cholangitis. After the 2nd operation, she was active and exhibited no evidence of recurrence at 22 months.
Uenishi
T
T
Second Department of Surgery, Osaka City University Medical School, Japan. m6877710@msic.med.osaka-cu.ac.jp
Hirohashi
K
K
Tanaka
H
H
Fujio
N
N
Kubo
S
S
Kinoshita
H
H
D000208:Acute Disease; D000328:Adult; D002761:Cholangitis / Q000209:etiology* / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D005260:Female; D006498:Hepatectomy; D006499:Hepatic Artery / Q000293:injuries*; D006500:Hepatic Duct, Common / Q000293:injuries*; D006801:Humans; D012008:Recurrence; D012086:Reoperation