Gastroduodenal Artery as the Inflow Tract to Repair the Right Hepatic Artery in a Combined Vasculobiliary Injury after Laparoscopic Cholecystectomy

2007 ◽  
Vol 73 (9) ◽  
pp. 888-889
Author(s):  
Kamran Khanmoradi ◽  
Werviston Defaria ◽  
Ronald E. Moore ◽  
Ralph Guarneri ◽  
Andreas G. Tzakis
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Hepatic Artery ◽  
Bile Duct Injury ◽  
Arterial Injury ◽  
Right Hepatic Artery ◽  
Artery Injury ◽  
Hepatic Artery Injury ◽  
The Right ◽  
Vasculobiliary Injury

The frequency and significance of right hepatic artery injury associated with bile duct injury after laparoscopic cholecystectomy is unknown. Many reports suggest that a concomitant arterial injury worsens the outcome and prognosis of the bile duct injury even after an initially successful biliary repair. The optimal management of this complicated injury is controversial. We report a surgical technique to repair the right hepatic artery injury in these cases. We believe this technique is useful for surgeons who opt to repair the arterial injury at the time of biliary reconstruction, especially if it is performed soon after the injury occurred, before permanent damage to the liver and biliary system is established. To the best of our knowledge, this technique was not reported in the literature previously.

Right hepatic artery injury associated with laparoscopic bile duct injuries: Incidence, mechanism, and consequences

2003 ◽  
Vol 124 (4) ◽  
pp. A793
Author(s):  
Lygia Stewart ◽  
Thomas N. Robinson ◽  
Crystine M. Lee ◽  
Kingsway Liu ◽  
Whang Karen ◽  
...  
Keyword(s):  
Bile Duct ◽  
Hepatic Artery ◽  
Right Hepatic Artery ◽  
Artery Injury ◽  
Bile Duct Injuries ◽  
Hepatic Artery Injury

scholarly journals Abnormal right hepatic artery injury resulting in right hepatic atrophy: diagnosed by laparoscopic cholecystectomy

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Valter Martino ◽  
Alessia Ferrarese ◽  
Marco Bindi ◽  
Silvia Marola ◽  
Valentina Gentile ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Hepatic Artery ◽  
Vascular Lesions ◽  
Biliary Surgery ◽  
Right Hepatic Artery ◽  
Hepatic Atrophy ◽  
Hepatic Artery Injury ◽  
Asymptomatic Case ◽  
The Right

Abstract An intact hepatic artery is the gateway to successful hepato-biliary surgery. Introduction of laproscopic cholecystectomy (LC) has stimulated a renewed interest in the anatomy of hepatic artery. In this case report we have highlighted importance of variations of right hepatic artery in terms of origin and course We present a rare asymptomatic case of liver atrophy due to an intraoperative lesion of right hepatic artery. We also performed a literature review about surgical vascular lesions and tried to confirm the right concept behind “non trivial procedure” of the LC.

scholarly journals Right Hepatic Artery: A Cadaver Investigation and Its Clinical Significance

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Usha Dandekar ◽  
Kundankumar Dandekar ◽  
Sushama Chavan
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Artery ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
Normal Anatomy ◽  
Surgical Safety ◽  
Right Hepatic Artery ◽  
The Common ◽  
The Right

The right hepatic artery is an end artery and contributes sole arterial supply to right lobe of the liver. Misinterpretation of normal anatomy and anatomical variations of the right hepatic artery contribute to the major intraoperative mishaps and complications in hepatobiliary surgery. The frequency of inadvertent or iatrogenic hepatobiliary vascular injury rises with the event of an aberrant anatomy. This descriptive study was carried out to document the normal anatomy and different variations of right hepatic artery to contribute to existing knowledge of right hepatic artery to improve surgical safety. This study conducted on 60 cadavers revealed aberrant replaced right hepatic artery in 18.3% and aberrant accessory right hepatic artery in 3.4%. Considering the course, the right hepatic artery ran outside Calot’s triangle in 5% of cases and caterpillar hump right hepatic artery was seen in 13.3% of cases. The right hepatic artery (normal and aberrant) crossed anteriorly to the common hepatic duct in 8.3% and posteriorly to it in 71.6%. It has posterior relations with the common bile duct in 16.7% while in 3.4% it did not cross the common hepatic duct or common bile duct. The knowledge of such anomalies is important since their awareness will decrease morbidity and help to keep away from a number of surgical complications.

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