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- W2891729995 abstract "Background: In some circumstances, complex biliary and arterial lesion after laparoscopic cholecystectomy is an indication for liver resection. The aim of this video is to present a laparoscopic right hepatectomy in a patient with complex biliary injury. Methods: A 24 year old woman underwent laparoscopic cholecystectomy. On the first postoperative day, she complained of acute pain in the right upper quadrant. She was then reoperated by laparoscopy. At reintervention, a massive volume of bile was found. The source of leakage was not clear, and abdominal cavity was drained. After 9 weeks and two reinterventions, she continued to experience cholangitis and was referred to us. MRI disclosed an atrophied right liver with dilatation of the right hepatic duct, damage of the right hepatic artery. Left liver was normal. This case was discussed by multidisciplinary team, and right hepatectomy was proposed. Despite the 3 former interventions and previous information regarding extreme adhesions, we decide to initiate operation by laparoscopy. Results: Operative time was 220 minutes. Blood loss was 400 mL and there was no need for transfusion. Recovery was uneventful, and she was discharged on the 4th postoperative day. Drain was removed on the 7th postoperative day. Liver enzymes normalized after surgery. Left liver presented satisfactory hypertrophy. She is well and asymptomatic 15 months after operation. Conclusion: Laparoscopic right hepatectomy is feasible in selected patients with complex bile duct injury. Intrahepatic Glissonian approach is indicated in cases with previous dissection of the hilar plate. In a recent review, only 99 patients in the literature underwent liver resection after bile duct injury. None of them was performed by laparoscopy." @default.
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- W2891729995 date "2018-03-01" @default.
- W2891729995 modified "2023-09-27" @default.
- W2891729995 title "Laparoscopic right hepatectomy for complex biliary injury after laparoscopic cholecystectomy" @default.
- W2891729995 doi "https://doi.org/10.1016/j.hpb.2018.02.085" @default.
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