Combined Biliary and Right Hepatic Artery Injury during Laparoscopic Cholecystectomy

Abstract The most common vascular injury associated with biliary injury during laparoscopic cholecystectomy is injury to the right hepatic artery. Although the exact incidence of combined biliovascular injury is not known, but it appears frequent than expected. Ideal management of combined biliary a...
Ausführliche Beschreibung

Abstract The most common vascular injury associated with biliary injury during laparoscopic cholecystectomy is injury to the right hepatic artery. Although the exact incidence of combined biliovascular injury is not known, but it appears frequent than expected. Ideal management of combined biliary and right hepatic artery injury is not clear, but it is advisable to repair the artery if expertise is available and situation permits. In the presence of unrepaired right hepatic artery injury, early versus delayed repair of bile duct injury is disputable, but evidences are more inclined towards delayed repair. We present two cases of combined bile duct and right hepatic artery injuries with review of literature. Ausführliche Beschreibung