Vascular injury during laparoscopic cholecystectomy: An often-overlooked complication

Antonio Pesce; Nicolò Fabbri; Carlo Vittorio Feo

doi:10.4240/wjgs.v15.i3.338

Vascular injury during laparoscopic cholecystectomy: An often-overlooked complication

World J Gastrointest Surg. 2023 Mar 27;15(3):338-345. doi: 10.4240/wjgs.v15.i3.338.

Authors

Antonio Pesce¹, Nicolò Fabbri², Carlo Vittorio Feo²

Affiliations

¹ Department of Surgery, University of Ferrara, Azienda USL of Ferrara, Azienda USL of Ferrara, Lagosanto 44023, Ferrara, Italy. antonio.pesce@ausl.fe.it.
² Department of Surgery, University of Ferrara, Azienda USL of Ferrara, Azienda USL of Ferrara, Lagosanto 44023, Ferrara, Italy.

Abstract

Laparoscopic cholecystectomy is one of the most frequently performed procedures in gastrointestinal surgery worldwide. Bleeding complications due to vascular injuries represent an important cause of morbidity and mortality, especially when facing major bleeding during laparoscopy, where bleeding control can be technically challenging in inexperienced hands. Interestingly, the reported incidence rate of conversion to open surgery due to vascular lesions is approximately 0%-1.9%, with a mortality rate of approximately 0.02%. The primary aim of this article was to perform an up-to-date overview regarding the incidence and surgical management of vascular injuries during laparoscopic cholecystectomy according to the available scientific evidence.

Keywords: Laparoscopic cholecystectomy; Specialized hepatobiliary centers; Surgical management; Vascular anomalies; Vascular injury.

Publication types

Review