Abstract
This report describes injury to the hepatic artery with pseudoaneurysm formation and hemobilia following the use of laser-assisted dissection to perform laparoscopic cholecystectomy. A 57-year-old woman was referred emergently 2 weeks after laser laparoscopic cholecystectomy with upper abdominal pain, upper gastrointestinal bleeding, and jaundice. A selective hepatic arteriogram showed a right hepatic artery pseudoaneurysm which was embolized. Two weeks later the patient had recurrent hemobilia as the result of blood flow restoration in the pseudoaneurysm and a fistula to the cystic duct remnant. She was treated with two additional embolizations and direct injection of the aneurysm with thrombogenic material. Follow-up at 2 years showed no further recurrence. Since the laser has never been shown to have advantages over electrocautery, its use during laparoscopic cholecystectomy is difficult to justify.
Original language | English (US) |
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Pages (from-to) | 201-204 |
Number of pages | 4 |
Journal | Surgical endoscopy |
Volume | 8 |
Issue number | 3 |
DOIs | |
State | Published - Mar 1994 |
Externally published | Yes |
Keywords
- Hemobilia
- Hepatic artery pseudoaneurysm
- Laparoscopy
- Laser
ASJC Scopus subject areas
- Surgery