title: Laparoscopic repair for intraoperative injury of the right hepatic artery during cholecystectomy.
abstract: Right hepatic artery (RHA) injury is a complication that occurs during laparoscopic cholecystectomy, which can sometimes cause hepatic artery pseudoaneurysm or ischemic hepatic necrosis. Therefore, RHA should be managed carefully. Herein, we report a case of intraoperative RHA injury that was successfully repaired during laparoscopic cholecystectomy. Bleeding was controlled prior to the cholecystectomy with vascular clamp forceps that had been inserted through an additional trocar, and repair of the RHA injury was then performed laparoscopically. The postoperative course was uneventful, and patency of the RHA and its sectional arteries were confirmed by CT arteriography. Laparoscopic repair of minor RHA injuries can be managed safely if bleeding is adequately controlled.
authors.affiliation: Department of Surgery, Jikei Daisan Hospital, Tokyo, Japan.
authors.forename: Shuichi
authors.initials: S
authors.lastname: Fujioka
authors.forename: Azusa
authors.initials: A
authors.lastname: Fuke
authors.forename: Naotake
authors.initials: N
authors.lastname: Funamizu
authors.forename: Tomoko
authors.initials: T
authors.lastname: Nakayoshi
authors.forename: Tomoyoshi
authors.initials: T
authors.lastname: Okamoto
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yanaga
mesh_terms: D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006499:Hepatic Artery / Q000293:injuries / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Laparoscopic cholecystectomy; right hepatic artery; vascular injury