• 作者：Ricardo Robles Campos ; ^{rirocam@um.es} ; Caridad Marí ; n Herná ; ndez ; Juan Angel Ferná ; ndez Herná ; ndez ; Francisco Sanchez Bueno ; Pablo Ramirez Romero ; Patricia Pastor Perez ; Pascual Parrilla Paricio
• 关键词：Lesió ; n arteria hepá ; tica derecha ; Colecistectom&iacute ; a laparoscó ; pica ; Trasplante hepá ; tico ; Fallo hepá ; tico fulminante
• 刊名：Cirug铆a Espa帽ola
• 出版年：2011
• 期刊代码：pca87_0009739X
• 类别：med
• 出版时间：December 2011
• 卷：89
• 期：10
• 页码：670-676
• 文件大小：470 K

Introduction

Right hepatic artery (RHA) injury after laparoscopic cholecystectomy (LC) may go unnoticed clinically, but can sometimes cause necrosis of the right lobe. Exceptionally, when the necrosis spreads to segment IV, fulminant liver failure (FLF) may occur, and an urgent liver transplantation (LT) may be required.

Patients and method

We provide a review of the literature on patients with indication for an LT due to vascular damage caused by bile duct injury following LC. The case reported herein is the fourth described in the specialized literature of LT due to RHA injury after LC and the second of FLF after RHA injury.

Results

LT due to RHA injury was performed in 3 of 13 patients reported in the literature: one LT was performed at 3 months due to FLF, after an extended right hepatectomy was performed, and the remaining two were performed due to secondary biliary cirrhosis. Our patient was transplanted due to FLF 15 days after the injury.

Conclusions

RHA injury after LC may require LT due to FLF. Although exceptional, this possibility should be considered when there are RHA complications that may require occlusion.