Biliary injury after laparoscopic cholecystectomy: end-to-end anastomosis covered with umbilical vein.
The management of biliary injuries after laparoscopic surgery presents a surgical challenge. We describe a promising method of biliary reconstruction with umbilical vein covering followed by end-to-end anastomosis. In the patient reported here, the umbilical vein was identified in the pedicled ligamentum teres, transected as if it were a sheet, and sutured, then covered ventrally to the anastomosed bile duct. This procedure may be a promising reinforcement of the reconstructed site which maintains the biliary integrity; however, it can be applied, only in selected situations.
First Department of Surgery, Sapporo Medical University School of Medicine, S-1, W-16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan.
Yasutoshi
Y
Kimura
Koichi
K
Hirata
Mitsuhiro
M
Mukaiya
Toru
T
Mizuguchi
Takayuki
T
Nobuoka
Tomohisa
T
Furuhata
Tadashi
T
Katsuramaki
D000007:Abdominal Injuries / Q000209:etiology / Q000601:surgery*; D000714:Anastomosis, Surgical; D001652:Bile Ducts / Q000098:blood supply / Q000293:injuries*; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D014471:Umbilical Veins / Q000601:surgery