Online citations, reference lists, and bibliographies.

An Analytical Review Of Vasculobiliary Injury In Laparoscopic And Open Cholecystectomy.

S. Strasberg, W. S. Helton
Published 2011 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
OBJECTIVES Biliary injuries are frequently accompanied by vascular injuries, which may worsen the bile duct injury and cause liver ischemia. We performed an analytical review with the aim of defining vasculobiliary injury and setting out the important issues in this area. METHODS A literature search of relevant terms was performed using OvidSP. Bibliographies of papers were also searched to obtain older literature. RESULTS  Vasculobiliary injury was defined as: an injury to both a bile duct and a hepatic artery and/or portal vein; the bile duct injury may be caused by operative trauma, be ischaemic in origin or both, and may or may not be accompanied by various degrees of hepatic ischaemia. Right hepatic artery (RHA) vasculobiliary injury (VBI) is the most common variant. Injury to the RHA likely extends the biliary injury to a higher level than the gross observed mechanical injury. VBI results in slow hepatic infarction in about 10% of patients. Repair of the artery is rarely possible and the overall benefit unclear. Injuries involving the portal vein or common or proper hepatic arteries are much less common, but have more serious effects including rapid infarction of the liver. CONCLUSIONS Routine arteriography is recommended in patients with a biliary injury if early repair is contemplated. Consideration should be given to delaying repair of a biliary injury in patients with occlusion of the RHA. Patients with injuries to the portal vein or proper or common hepatic should be emergently referred to tertiary care centers.
This paper references
Major hepatectomy for the treatment of complex bile duct injury.
M. Mercado (2009)
Liver Resection and Transplantation in the Management of Iatrogenic Biliary Injury
B. Thomson (2007)
Major vascular injuries during laparoscopic cholecystectomy. An institutional review of experience with 2589 procedures and literature review.
H. Usal (1998)
Right hepatic artery injury associated with laparoscopic bile duct injury: Incidence, mechanism, and consequences
L. Stewart (2007)
Devastating and fatal complications associated with combined vascular and bile duct injuries during cholecystectomy.
J. Buell (2002)
Angiographic study of the collateral circulation to the liver after ligation of the hepatic artery in man.
S. Bengmark (1970)
Laparoscopic Cholecystectomy: Bile Duct and Vascular Injuries: Management and Outcome
Ø. Mathisen (2002)
Gastrointestinal bleeding from a false aneurysm of the hepatic artery after cholecystectomy.
D. Srivastava (1996)
New strategies to prevent laparoscopic bile duct injury--surgeons can learn from pilots.
T. Hugh (2002)
Traumatic false aneurysm of the right hepatic artery: an unusual complication of cholecystectomy.
Per Thorgaard Andersen (1971)
Bile duct injuries: management of late complications
E. Santibañes (2006)
The risk of hepatic artery embolization in the presence of obstructive jaundice.
J. Doppman (1982)
The arterial blood supply of the common and hepatic bile ducts with reference to the problems of common duct injury and repair; based on a series of 23 dissections. Surgery 23:1–11
AL Shapiro (1948)
[Pseudoaneurysm of the hepatic artery presenting with hemobilia--a complication of laparoscopic cholecystectomy].
K Schwarzmannová (2008)
Causes and Prevention of Laparoscopic Bile Duct Injuries: Analysis of 252 Cases From a Human Factors and Cognitive Psychology Perspective
L. Way (2003)
A new look at the arterial supply of the bile duct in man and its surgical implications
J. Northover (1979)
Right hepatic artery pseudoaneurysm and cystic duct leak after laparoscopic cholecystectom
S. Journé (2003)
Error traps and vasculo-biliary injury in laparoscopic and open cholecystectomy.
S. Strasberg (2008)
Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases.
D. Deziel (1993)
Long‐term results and risk factors influencing outcome of major bile duct injuries following cholecystectomy
S. Schmidt (2005)
Operative injury of the common and hepatic bile ducts
DN Eisendrath (1920)
Bile duct injury following laparoscopic cholecystectomy: a cause for continued concern.
L. Wudel (2001)
The blood supply of the biliary ductal system and its relevance to vasculobiliary injuries following cholecystectomy.
I. Vellar (1999)
Blood supply of the common bile duct.
Parke Ww (1963)
Liver blood flow studies during and after various periods of total biliary obstruction in the dog.
K. F. Aronsen (1969)
[ Haemobilia due to pseudoaneurysm of the right hepatic artery following laparoscopic cholecystectomy
A Iannelli (2003)
The arterial blood supply of the common and hepatic bile ducts with reference to the problems of common duct injury and repair; based on a series of 23 dissections.
A. Shapiro (1948)
Management of concomitant hepatic artery injury in patients with iatrogenic major bile duct injury after laparoscopic cholecystectomy
J. Li (2008)
Right liver necrosis: complication of laparoscopic cholecystectomy.
C. Kayaalp (2001)
Mechanisms of major biliary injury during laparoscopic cholecystectomy
R. Lev (1992)
Right hepatic artery pseudoaneurysm after laparoscopic cholecystectomy.
M. Ibrarullah (1997)
Hepatic artery pseudoaneurysm following laparoscopic cholecystectomy.
C. Yao (2010)
Failed primary management of iatrogenic biliary injury: incidence and significance of concomitant hepatic arterial disruption.
A. Koffron (2001)
Secondary hemorrhage from the right hepatic artery.
Nigel Keddie (1979)
Pseudoaneurysm of the hepatic artery along with common bile duct injury following laparoscopic cholecystectomy
K. P. Balsara (1998)
Demonstration of Collateral Arterial Flow after Interruption of Hepatic Arteries in Man
M. Et (1974)
High bile duct injury following laparoscopic cholecystectomy.
M. Alsebayel (2003)
Hepatic artery pseudoaneurysm following laparoscopic cholecystectomy
V. Chigot (2002)
Emergency liver resection for combined biliary and vascular injury following laparoscopic cholecystectomy: case report and review of the literature.
E. Felekouras (2007)
Pseudoaneurysm of the cystic artery following cholecystectomy.
W. Clements (1993)
Laparoscopic cholecystectomy injury: an unusual indication for liver transplantation
A. Robertson (1998)
Correction: A prospective analysis of 1518 laparoscopic cholecystectomies.
Barone Je (1991)
Incidence and Consequence of an Hepatic Artery Injury in Patients With Postcholecystectomy Bile Duct Strictures
A. Alvès (2003)
Vascular Injuries in Laparoscopic Cholecystectomy: An Underestimated Problem
G. Tzovaras (2006)
Liver infarction following unrecognized right hepatic artery ligation at laparoscopic cholecystectomy
R. Wachsberg (2005)
Arterial collaterals in the liver hilus.
H. Redman (1970)
Iatrogenic bile duct injury: The scourge of laparoscopic cholecystectomy
K. Slater (2002)
Right hepatic lobectomy for bile duct injury associated with major vascular occlusion after laparoscopic cholecystectomy.
H. Nishio (1999)
[Hemobilia due to pseudoaneurysm of the right hepatic artery following laparoscopic cholecystectomy].
A. Iannelli (2003)
Corrective treatment and anatomic considerations for laparoscopic cholecystectomy injuries.
J. Madariaga (1994)
Specialist outreach service for on-table repair of iatrogenic bile duct injuries--a new kind of 'travelling surgeon'.
M. Silva (2008)
Correction: A prospective analysis of 1518 laparoscopic cholecystectomies.
J. Barone (1991)
Blood supply of the common bile duct.
W. Parke (1963)
The effect of biliary obstruction on hepatosplanchnic blood flow in dogs.
E. Ohlsson (1970)
Value of MRI in three patients with major vascular injuries after laparoscopic cholecystectomy
A. Ragozzino (2007)
Non-biliary complication of laparoscopic cholecystectomy
Ea Bacha (1994)
Embolization of an hepatic artery pseudoaneurysm following laparoscopic cholecystectomy
S. Rivitz (2007)
Blood supply of the right and left hepatic ducts
G. N. Stapleton (1998)
Right hepatic artery injury associated with laparoscopic bile duct injuries: Incidence, mechanism, and consequences
L. Stewart (2003)
Hemobilia due to hepatic artery pseudoaneurysm thirteen months after laparoscopic cholecystectomy.
A. Ribeiro (1998)
“Sideways”: Results of Repair of Biliary Injuries Using a Policy of Side-To-Side Hepatico-Jejunostomy
E. Winslow (2009)
Hepatic artery pseudoaneurysm and hemobilia following laparoscopic cholecystectomy.
R. Kapoor (1997)
Embolization for right hepatic artery pseudoaneurysm following laparoscopic cholecystectomy
E. Yahchouchy-Chouillard (2003)
The arterial blood supply of the common and hepatic bile ducts with reference to the problems of common duct injury and repair; based on a series of 23 dissections.
Shapiro Al (1948)
Cholecystectomy and hepatic artery injuries.
N. Halasz (1991)
Combined proper hepatic artery and common hepatic duct injury in open cholecystectomy: Case report and review of the literature
B. Salman (2007)
Surgical Repair after Bile Duct and Vascular Injuries during Laparoscopic Cholecystectomy: When and How?
P. Bachellier (2001)
Obstructive jaundice impairs hepatic sinusoidal endothelial cell function and renders liver susceptible to hepatic ischemia/reperfusion.
H. Yoshidome (2000)
R. Brittain (1964)
Surgical management in biliary restricture after Roux-en-Y hepaticojejunostomy for bile duct injury.
J. Yan (2007)
Hepatic blood flow after acute biliary obstruction and drainage in conscious dogs.
H. Kanda (1996)
An analysis of the problem of biliary injury during laparoscopic cholecystectomy.
S. Strasberg (1995)
Post-cholecystectomy haemobilia: enjoying a renaissance in the laparoscopic era?
B. Stewart (1995)
Management and outcome of patients with combined bile duct and hepatic artery injuries.
N. Gupta (1998)
Surgical anatomy and blood supply of the left biliary tree pertaining to partial liver grafts from living donors.
J. Nery (1990)
Right hepatic lobectomy for recurrent cholangitis after bile duct and hepatic artery injury during laparoscopic cholecystectomy: report of a case.
T. Uenishi (1999)
Biochemical and morphological changes in the liver after hepatic artery ligation in the presence or absence of extrahepatic cholestasis.
A. F. Soares (1993)
Hémobilie par pseudoanévrysme de la branche droite de l'artère hépatique après cholécystectomie coelioscopique
A. Iannelli (2003)
Erratum: Hemobilia due to hepatic artery pseudoaneurysm thirteen months after laparoscopic cholecystectomy (Journal of Clinical Gastroenterology (1998) 26:1 (50-53))
A. Ribeiro (1998)
Major bile duct injuries after laparoscopic cholecystectomy: A tertiary center experience
A. Frilling (2007)
The "hidden cystic duct" syndrome and the infundibular technique of laparoscopic cholecystectomy--the danger of the false infundibulum.
S. Strasberg (2000)
False Aneurysm of the Hepatic Artery after Laparoscopic Cholecystectomy
T. Bulut (2002)
Hepatic artery pseudoaneurysm and hemobilia following laser laparoscopic cholecystectomy
Y. Genyk (1994)
Effects of arterial or portal ischemia on survival and metabolism of partially and totally depancreatized dogs.
A. M. Rappaport (1975)
The blood supply of the hilar bile duct and its relationship to the communicating arcade located between the right and left hepatic arteries.
H. Gunji (2006)
False aneurysm of the right hepatic artery complicating cholecystectomy: a report of two cases.
Dean Te (1986)
Right hemihepatectomy for bile duct injury following laparoscopic cholecystectomy
S. Heinrich (2002)

This paper is referenced by
End-to-end ductal anastomosis in biliary reconstruction: indications and limitations.
B. Jabłońska (2014)
Bile Duct Injury
Adnan A. Alseidi (2013)
[Acute Cholecystitis].
Greta Burmeister (2018)
Outcomes of laparoscopic cholecystectomy done with surgical energy versus done without surgical energy: a prospective-randomized control study
Brij B. Agarwal (2014)
Clinical Applications of Three-Dimensional Visualization Model of Arteries Supplying the Extrahepatic Bile Duct for Patients with Biliary Obstruction
Y. Jian (2017)
A preliminary study of ALPPS procedure in a rat model
Huawen Shi (2015)
Biliary reconstruction and Roux-en-Y hepaticojejunostomy for the management of complicated biliary strictures after bile duct injury
Han Yong Liu (2015)
Rouviere's sulcus: Review of an anatomical landmark to prevent common bile duct injury
K. Galketiya (2014)
Vaskuläres Management bei anatomischen Leberresektionen
Silvio Nadalin (2014)
Iatrogenic common bile duct injuries: Intra-operative identification and management
Phillip Jeans (2012)
Conversion of laparoscopic cholecystectomy to open cholecystectomy *
Dr. Jafar Abo-Talib Mohammed Saied (2017)
Dome Down Laparoscopic Cholecystectomy: Our Experience and the State of Art
Lorena Sorrentino (2017)
Improved Outcomes of Bile Duct Injuries in the 21st Century
H. Pitt (2013)
Modified ALPPS procedures: more safety through less invasive surgery
Kuniya Tanaka (2017)
Diagnosis and management of biliary injuries.
J Bart Rose (2017)
[Urgent liver transplantation after complete resection of hepatic pedicle during laparoscopic cholecystectomy].
Anna Igual Muñoz (2014)
Partial Liver Resection because of Bile Duct Injury
Klaske A. C. Booij (2013)
Excision of a part of the bile duct as an iatrogenic injury typical for laparoscopic cholecystectomy – characteristics, treatment and long-term results, based on own material
S. Durowicz (2020)
A New Era of Bile Duct Repair: Robotic-Assisted Versus Laparoscopic Hepaticojejunostomy
A. Cuendis-Velázquez (2018)
Accessory right hepatic duct in which a cystic duct drains.
Daniel V. Kostov (2011)
Acute Biliary Disease
Ning Lu (2017)
Numerical zero-dimensional hepatic artery hemodynamics model for balloon-occluded transarterial chemoembolization.
Jorge Aramburu (2018)
Severe vasculo-biliary injury (D4dpv) following laparoscopic cholecystectomy: case report
Ivelin Rumenov Takorov (2015)
Combined Biliary and Right Hepatic Artery Injury during Laparoscopic Cholecystectomy
Jitendra Mistry (2020)
Right hepatectomy due to portal vein thrombosis in vasculobiliary injury following laparoscopic cholecystectomy: a case report
S. Jadrijević (2014)
ATOM, the all-inclusive, nominal EAES classification of bile duct injuries during cholecystectomy
A. Fingerhut (2013)
Liver Resection for Bile Duct Injury
Michael D. McCall (2015)
An Update on Iatrogenic Biliary Injuries: Identification, Classification, and Management.
J. Cohen (2019)
Klatskin-Like Lesions
M. P. Senthil Kumar (2012)
Couinaud Type A communicating accessory bile duct: report of a case
Atsushi Shimizu (2020)
Combined vascular and biliary fluorescence imaging in laparoscopic cholecystectomy
Rutger M Schols (2013)
Prognostication of Learning Curve on Surgical Management of Vasculobiliary Injuries after Cholecystectomy
Abu Bakar Hafeez Bhatti (2016)
See more
Semantic Scholar Logo Some data provided by SemanticScholar