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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 5, No. 3, 2009, pp. 72-74
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Bioline Code: ma09018
Full paper language: English
Document type: Case Report
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 5, No. 3, 2009, pp. 72-74
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Left hepatic vein injury during laparoscopic antireflux surgery for large para-oesophageal hiatus hernia
Nagpal, Anish P.; Soni, Harshad & Haribhakti, Sanjiv P.
Abstract
Although the advent of laparoscopic fundoplication has increased both patient and physician acceptance of antireflux surgery, it has become apparent that the laparoscopic approach is associated with an increased risk of some complications and as well as the occurrence of new complications specific to this approach. One such complication occurred in our patient who had intra-operative left hepatic vein injury during laparoscopic floppy Nissen fundoplication for large para-oesophageal rolling hernia. With timely conversion to open procedure, the bleeding was controlled and the antireflux and the procedure were completed uneventfully. However, this suggests that even with an experience in advanced laparoscopy surgery, complications can occur. Clear understanding of the normal and pathologic anatomy and its variations facilitates laparoscopic surgery and should help the surgeon avoid complications. The incidence of some of these complications decreases as surgeons gain experience; however, new complications can arise due to the increase in such procedures.
Keywords
Complication, gastrooesophageal reflux disease, laparoscopic nissen fundoplication, left hepatic vein
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