Biliary injury after laparoscopic cholecystectomy: end-to-end anastomosis covered with umbilical vein

J Hepatobiliary Pancreat Surg. 2005;12(3):269-71. doi: 10.1007/s00534-004-0968-6.

Abstract

The management of biliary injuries after laparoscopic surgery presents a surgical challenge. We describe a promising method of biliary reconstruction with umbilical vein covering followed by end-to-end anastomosis. In the patient reported here, the umbilical vein was identified in the pedicled ligamentum teres, transected as if it were a sheet, and sutured, then covered ventrally to the anastomosed bile duct. This procedure may be a promising reinforcement of the reconstructed site which maintains the biliary integrity; however, it can be applied, only in selected situations.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Injuries / etiology
  • Abdominal Injuries / surgery*
  • Anastomosis, Surgical
  • Bile Ducts / blood supply
  • Bile Ducts / injuries*
  • Biliary Tract Surgical Procedures / methods*
  • Cholecystectomy, Laparoscopic / adverse effects*
  • Humans
  • Ischemia / etiology*
  • Male
  • Middle Aged
  • Stents
  • Treatment Outcome
  • Umbilical Veins / surgery