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2013, Number 2

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Rev Mex Cir Endoscop 2013; 14 (2)

Laparoscopic control of vascular injury noticed by Veress needle during cholecystectomy. A case report and literature review

Cedillo AEJ, Zapata MMÁ, Ríos CAA

Language: Spanish
References: 17
Page: 82-86
PDF size: 669.64 Kb.


ABSTRACT

Objective: Presentation of a clinical case of laparoscopic surgery with vascular injury following insertion of the Veress needle, and review of literature. Place: Christus Muguerza High Specialty Hospital, Monterrey (Mexico). Design: Descriptive, case report. Background: Laparoscopic surgery has become increasing in popularity and proven safe. It is currently the gold standard for many surgical procedures. Surgeons should be aware and alert of all potential complications. Major and minor vascular lesions may have devastating effect, therefore they must be identified and resolved in a timely manner. Material and methods: Presentation of a clinical case of laparoscopic surgery in which vascular injury was noticed following insertion of the Veress needle, in the experience of a surgeon who has performed more than 4,500 laparoscopic surgeries. The details of the lesion, the vascular control, the repair and the outcome are discussed. Review of literature supported by PubMed. Result: The patient was a 45-year-old female without pathological medical history, with clinical and paraclinical acute calculous cholecystitis. Cholecystectomy is performed laparoscopically, with Veress needle to establish pneumoperitoneum; she presents a mesenteric vascular injury, with 1,000 cm3 hemoperitoneum, and then laparoscopic vascular repair is performed successfully. The patient is discharged on the third day without transfusion. Conclusion: Laparoscopic vascular injuries are a rare but potentially fatal disease that can be resolved laparoscopically without conversion to an open technique.


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