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Major vessel injuries during laparoscopic cholecystectomy: a case report
Luciano Battaglia1, Roberto Bartolucci, Alberto Berni
1Department of Cardiovascular Diseases, Division of Vascular Surgery S. Camillo, Forlanini Hospital, Rome.
Chirurgia Italiana
|May 15, 2003
Summary
Major vascular injury during laparoscopic cholecystectomy is rare but serious. Prompt recognition and surgical repair, like direct suturing, are key for patient recovery from these critical surgical complications.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Vascular surgery
Background:
- Laparoscopic cholecystectomy is a common procedure.
- Major vascular injury is a rare but life-threatening complication.
- Injuries often result from Veress needle or trocar placement.
Observation:
- A case of a 35-year-old woman with aortic and inferior vena cava lacerations during laparoscopic cholecystectomy.
- Simultaneous mesenteric vascular injuries also occurred.
- Significant blood loss (1300 cc) was managed.
Findings:
- Successful repair of aortic, inferior vena cava, and mesenteric vascular injuries using direct suturing techniques.
- Prolonged hospitalization (13 days) but uneventful recovery.
- Demonstrates the feasibility of managing complex vascular injuries intraoperatively.
Implications:
- Highlights the risk of major vascular injury in laparoscopic cholecystectomy.
- Emphasizes the importance of swift diagnosis and surgical intervention.
- Direct suturing is often sufficient for vascular repair, minimizing the need for complex reconstruction.