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 ◽  
...  

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.

2007 ◽  
Vol 73 (9) ◽  
pp. 888-889
Author(s):  
Kamran Khanmoradi ◽  
Werviston Defaria ◽  
Ronald E. Moore ◽  
Ralph Guarneri ◽  
Andreas G. Tzakis

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.


2015 ◽  
Vol 04 (03) ◽  
pp. 153-154
Author(s):  
Satyajit Mitra ◽  
Alakesh Gogoi

AbstractThe cystic artery supplies oxygenated blood to the gallbladder and cystic duct. It usually arises from the right hepatic artery as a single branch, but cases with double cystic artery has also been reported from time to time. During a routine dissection class, the authors found a case in which two cystic arteries originated from the right hepatic artery to supply the two surfaces of gallbladder separately. As the extrahepatic biliary region is the most usual site of surgical intervention, the reporting of any form of variation in this region becomes a necessity.


2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Nicolas C Buchs ◽  
Pierre Charbonnet ◽  
Frank Schwenter ◽  
Christoph D Becker ◽  
Philippe Morel ◽  
...  

Author(s):  
Jesús Antonio Martín Pérez ◽  
Jorge Alejandro Domínguez Rodríguez ◽  
Israel De Alba Cruz ◽  
Angel Javier Lara Valdés ◽  
Ana Laura Sánchez Baltazar ◽  
...  

Author(s):  
Jurij Janež

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.


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