Hepatic Vein Injuries During Laparoscopic Hepatectomy

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Hongyu Li, Yonggang Wei

Abstract

Laparoscopic hepatectomy (LH) has now been widely performed in experienced centers. However, hepatic vein injury (HVI) during LH is especially dangerous, because it may cause conversion, air embolization, fatal hemorrhaging, or even death. Perioperative characteristics of 4 patients who underwent LH suffering HVI were recorded, including 2 for right HVIs, 1 for middle HVI, and 1 for left HVI. Ultrasonic shears was used for liver mobilization. Linear stapler was adopted to cut off hepatic vein. A 4-0 prolene was used to repair HVI. In case 1 laparoscopic right hemihepatectomy was performed for hepatic hemangioma. The root of right hepatic vein was injured. Repairing time was about 10 minutes and hemorrhaging was about 150 mL. In case 2 laparoscopic segmentectomy for S7 and S8 was performed for hepatic hemangioma. The right hepatic vein was injured. Repairing time was about 8 minutes and hemorrhaging was about 220 mL. In case 3 laparoscopic trisegmentectomy for S2-S4+S5, S8 was performed for hepatic echinococcosis. The middle hepatic vein was injured. Repairing time was about 8 minutes and hemorrhaging was about 110 mL. In case 4 laparoscopic left lateral segmentectomy was performed for hepatocellular carcinoma. The left hepatic ...Continue Reading

References

Nov 23, 2000·Annals of Surgery·D CherquiP L Fagniez
Feb 22, 2005·American Journal of Surgery·Hironori KanekoTadaaki Shiba
Jan 15, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew A Gumbs, Brice Gayet
Sep 16, 2008·Annals of Surgery·Joseph F BuellKelly M McMasters
Feb 19, 2009·The British Journal of Surgery·A SasakiG Wakabayashi
Oct 6, 2009·Annals of Surgery·Kevin Tri NguyenDavid A Geller
Mar 30, 2010·Annals of Surgical Innovation and Research·Elie K ChouillardDaniel Cherqui
Sep 23, 2011·Surgical Endoscopy·Andrew A GumbsJohn P Hoffman

❮ Previous
Next ❯

Methods Mentioned

BETA
dissect
dissection

Related Concepts

Related Feeds

Cavernous Hemangioma

Cavernous hemangioma is a blood vessel defect or benign tumor that leads to leakage of blood to the surrounding tissues. This can occur in several organs including the brain, which can lead to seizures. Discover the latest research on cavernous hemangiomas here.

Carcinoma, Hepatocellular

Hepatocellular Carcinoma is a malignant cancer in liver epithelial cells. Discover the latest research on Hepatocellular Carcinoma here.

Related Papers

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Keun Soo AhnJai Young Cho
Journal of the American College of Surgeons
Yukihiro OkudaKatsunori Sakamoto
Journal of the American College of Surgeons
Ioan LucescuDaniel Jaeck
© 2022 Meta ULC. All rights reserved