title: Gastroduodenal artery as the inflow tract to repair the right hepatic artery in a combined vasculobiliary injury after laparoscopic cholecystectomy.
abstract: The frequency and significance of right hepatic artery injury associated with bile duct injury after laparoscopic cholecystectomy is unknown. Many reports suggest that a concomitant arterial injury worsens the outcome and prognosis of the bile duct injury even after an initially successful biliary repair. The optimal management of this complicated injury is controversial. We report a surgical technique to repair the right hepatic artery injury in these cases. We believe this technique is useful for surgeons who opt to repair the arterial injury at the time of biliary reconstruction, especially if it is performed soon after the injury occurred, before permanent damage to the liver and biliary system is established. To the best of our knowledge, this technique was not reported in the literature previously.
authors.affiliation: Department of Surgery, Division of Liver/GI Transplantation, University of Miami, School of Medicine, Miami, Florida, USA. khanmok@einstein.edu
authors.forename: Kamran
authors.initials: K
authors.lastname: Khanmoradi
authors.forename: Werviston
authors.initials: W
authors.lastname: Defaria
authors.forename: Ronald E
authors.initials: RE
authors.lastname: Moore
authors.forename: Ralph
authors.initials: R
authors.lastname: Guarneri
authors.forename: Andreas G
authors.initials: AG
authors.lastname: Tzakis
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y; D001652:Bile Ducts / Q000293:injuries*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D042883:Choledocholithiasis / Q000601:surgery; D005260:Female; D024405:Gastroepiploic Artery / Q000601:surgery*; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation*