Unidad de endoscopía digestiva, UNIGASTRO, Bolivia.
Gastroenterología, Hospital Italiano de Buenos Aires, Argentina.
Rev Esp Enferm Dig. 2018 Dec;110(12):832. doi: 10.17235/reed.2018.5668/2018.
Iatrogenic vascular injuries of the hepatic artery are infrequent and a serious complication of LC. There is no doubt about the many advantages of LC when compared to open cholecystectomy. Despite this, there is an increase in the reported incidence (0.3%-1.0%) of biliary and vascular injuries. Most arterial complications are due to direct injury or diathermy shortening on surgical clips and HAP is one of them. We present a case of a 39-year old male patient who presented with this complication and how it was resolved.
医源性肝动脉损伤并不常见,但却是 LC 的严重并发症。与开腹胆囊切除术相比,LC 具有许多优势,这一点毋庸置疑。尽管如此,报告的胆道和血管损伤发生率(0.3%-1.0%)仍有所增加。大多数动脉并发症是由于手术夹直接损伤或热损伤,HAP 就是其中之一。我们报告了 1 例 39 岁男性患者出现这种并发症的情况以及如何解决该并发症。