Iatrogenic Right Hepatic Duct, Right Posterior Hepatic Duct, Right Hepatic Artery and Duodenum Injury during Routine Laparoscopic Cholecystectomy Due to Symptomatic Gallstones: Rare but Serious Complication - Case Report and Literature Review
Jurij Janež *
Department of Abdominal Surgery, University Medical Centre Ljubljana, Zaloška cesta 7, 1525 Ljubljana, Slovenia.
*Author to whom correspondence should be addressed.
Abstract
Laparoscopic cholecystectomy is a very frequent surgical procedure with a low complication rate. The reasons for such complications range from anatomical anomalies, obesity, poor exposure of anatomic structures, bleeding or lack of surgical experience. If complications arise, prompt recognition and correct management are essential. Early and correct treatment allows avoidance of serious complications, such as secondary biliary cirrhosis, hepatic failure, and ultimately death. In this paper is presented a case of a 40-years-old male patient, who sustained iatrogenic major bile duct, right hepatic artery and duodenum injury during routine laparoscopic cholecystectomy due to symptomatic gallstones.
Keywords: laparoscopic cholecystectomy, bile duct injury, conversion.