PMID: 8191359Mar 1, 1994Paper

Hepatic artery pseudoaneurysm and hemobilia following laser laparoscopic cholecystectomy. A case report

Surgical Endoscopy
Y S GenykN B Halpern

Abstract

This report describes injury to the hepatic artery with pseudoaneurysm formation and hemobilia following the use of laser-assisted dissection to perform laparoscopic cholecystectomy. A 57-year-old woman was referred emergently 2 weeks after laser laparoscopic cholecystectomy with upper abdominal pain, upper gastrointestinal bleeding, and jaundice. A selective hepatic arteriogram showed a right hepatic artery pseudoaneurysm which was embolized. Two weeks later the patient had recurrent hemobilia as the result of blood flow restoration in the pseudoaneurysm and a fistula to the cystic duct remnant. She was treated with two additional embolizations and direct injection of the aneurysm with thrombogenic material. Follow-up at 2 years showed no further recurrence. Since the laser has never been shown to have advantages over electrocautery, its use during laparoscopic cholecystectomy is difficult to justify.

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Citations

Jan 1, 1996·Cardiovascular and Interventional Radiology·S M RivitzP B Kelsey
Apr 24, 2013·Surgical Endoscopy·Ganesh SankaranarayananSuvranu De
May 3, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew K HadjMehrdad Nikfarjam
Jul 4, 1998·The British Journal of Surgery·N DoctorB R Davidson
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May 2, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·J Gama-OdriguesV E Seid
Mar 23, 2006·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kiran K TuragaRobert J Fitzgibbons
Apr 25, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Dimitrios G ParthenisTheodoros Vassilakopoulos
Jan 1, 2011·Case Reports in Gastrointestinal Medicine·Fabio SansonnaRaffaele Pugliese
Aug 1, 1996·Scandinavian Journal of Gastroenterology·O RøkkeD Jensen
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·T ChristensenL Sher
Jun 29, 2010·Journal des maladies vasculaires·S SlabaJ Nassar
Jul 9, 2004·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Lygia StewartLawrence W Way
Apr 22, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A Sanchez ArteagaF J Turégano
Jan 22, 2003·ANZ Journal of Surgery·Elie Yahchouchy-ChouillardAbe Fingerhut
May 29, 2021·Journal of Minimal Access Surgery·Charalampos LampropoulosIoannis Kehagias

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