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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
[Prolonged pain after left hepatectomy]
Wakako Miyake1, Tomoharu Funao, Ryota Takahashi
1Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka 545-8586.
Masui. the Japanese Journal of Anesthesiology
|August 20, 2008
Summary
Prolonged abdominal pain after left hepatectomy in a 53-year-old man was linked to duodenal perforation and subsequent peritoneal irritation. Conservative treatment improved his symptoms, highlighting potential complications like bile leakage and gastric deformity.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Left hepatectomy is a major surgical procedure for liver malignancies, including cholangiocellular carcinoma.
- Postoperative complications can significantly impact patient recovery and quality of life.
Observation:
- A 53-year-old male patient experienced prolonged abdominal pain exceeding 10 days post-left hepatectomy.
- Diagnostic investigations revealed duodenal perforation as the underlying cause.
Findings:
- The patient's pain improved with conservative management, suggesting peritoneal irritation from gastric contents and duodenal perforation.
- Potential contributing factors included bile leakage and gastric deformity secondary to enlarged dead space post-hepatectomy.
Implications:
- This case underscores the importance of considering duodenal perforation in patients with persistent pain after left hepatectomy.
- Clinicians should remain vigilant for potential complications such as pyloric obstruction following this procedure.
