Laparoscopic management of operative vena cava injury.
Major vascular injury can result from trocar placement, but it is a rare event during an intra-abdominal laparoscopic procedure. The authors report a major vena cava injury that occurred during a right adrenalectomy. The injury was managed entirely laparoscopically. Management of a major vascular injury occurring in such circumstances requires appropriate instruments and equipment, including a vascular clamp and good suction. Conversion to an open procedure is recommended if the injury cannot be safely resolved laparoscopically.
Mutter
D
D
Department of Digestive and Endocrine Surgery and the European Institute of Telesurgery (EITS)-IRCAD, Hôpital Civil, Strasbourg, France.
Wheeler
M H
MH
Marescaux
J
J
D000236:Adenoma / Q000175:diagnosis / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000601:surgery; D000315:Adrenalectomy / Q000009:adverse effects / Q000379:methods; D000328:Adult; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D012086:Reoperation; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery*