Right hemihepatectomy for ischemic liver necrosis after cholecystectomy

A. V. Novozhilov; M. O. Movsisyan; S. E. Grigorev; R. I. Shcherbakov; E. G. Grigoryev

doi:10.16931/1995-5464.2022-1-101-106

Right hemihepatectomy for ischemic liver necrosis after cholecystectomy

A. V. Novozhilov, M. O. Movsisyan, S. E. Grigorev, R. I. Shcherbakov, E. G. Grigoryev

https://doi.org/10.16931/1995-5464.2022-1-101-106

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Abstract

Injury of the extrahepatic bile duct system during cholecystectomy is a complex problem in biliary surgery. Combined injuries of the bile ducts and vessels in the hepatoduodenal ligament significantly complicate treatment and increase mortality. Efficient revascularization is possible in a specialized clinic during the initial hours following the injury. Anatomical liver resection is a rescue technique for the surgical elimination of such complications. Herein, we present a case of a patient who underwent right hemihepatectomy.

Keywords

gallbladder, bile ducts, complication of cholecystectomy, anatomical resection, biliary reconstruction, hemihepatectomy

About the Authors

A. V. Novozhilov

Irkutsk State Medical Institute of the Ministry of Healthcare of the Russian Federation
Russian Federation

Alexandr V. Novozhilov – Cand. of Sci. (Med.), Head of the Department of Portal Hypertension; Associate Professor

1, Krasnogo Vosstaniya str., Irkutsk, 664003

M. O. Movsisyan

Irkutsk State Medical Institute of the Ministry of Healthcare of the Russian Federation
Russian Federation

Mikael O. Movsisyan – Surgeon of the Department of Portal Hypertension

1, Krasnogo Vosstaniya str., Irkutsk, 664003

S. E. Grigorev

Irkutsk State Medical Institute of the Ministry of Healthcare of the Russian Federation
Russian Federation

Sergei E. Grigorev – Cand. of Sci. (Med.), Surgeon of the Department of Portal Hypertension; Associate Professor, Department of Hospital Surgery

1, Krasnogo Vosstaniya str., Irkutsk, 664003

R. I. Shcherbakov

Irkutsk State Medical Institute of the Ministry of Healthcare of the Russian Federation
Russian Federation

Roman I. Shcherbakov – Surgeon of the Department of Portal Hypertension

1, Krasnogo Vosstaniya str., Irkutsk, 664003

E. G. Grigoryev

Irkutsk State Medical Institute of the Ministry of Healthcare of the Russian Federation; Irkutsk Research Center for Surgery and Traumatology
Russian Federation

Eugene G. Grigoryev – Doct. of Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, Scientific Supervisor; Head of the Department of Hospital Surgery

1, Krasnogo Vosstaniya str., Irkutsk, 664003; ; 1, Bortsov Revolyutsii str., Irkutsk, 664003

References

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Review

For citations:

Novozhilov A.V., Movsisyan M.O., Grigorev S.E., Shcherbakov R.I., Grigoryev E.G. Right hemihepatectomy for ischemic liver necrosis after cholecystectomy. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2022;27(1):101-106. (In Russ.) https://doi.org/10.16931/1995-5464.2022-1-101-106

This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)

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	Title	Рисунок 1
	Type	Исследовательские инструменты
Brief description	МСКТ-ангиография. 1 – дистальный, 2 – проксимальный сегменты правой печеночной артерии, 3 – дефект наполнения
	Date	2021-07-11

	Title	Рисунок 2
	Type	Исследовательские инструменты
Brief description	МРТ-холангиография. 1 – пересеченный добавочный правый печеночный проток, 2 – культя пузырного протока, 3 – общий желчный проток
	Date	2021-07-11

	Title	Рисунок 3
	Type	Исследовательские инструменты
Brief description	Мобилизованная печень. Некроз правой доли. Демаркационная линия (пунктир).
	Date	2021-07-11

	Title	Рисунок 4
	Type	Исследовательские инструменты
Brief description	Интраоперационное фото. 1 – проксимальная культя аберрантного протока, 2 – дистальная культя, 3 – культя пузырного протока
	Date	2021-07-11

Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

Right hemihepatectomy for ischemic liver necrosis after cholecystectomy