Journal of Minimal Access Surgery

UNUSUAL CASE
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Year : 2009  |  Volume : 5  |  Issue : 3  |  Page : 72--74

Left hepatic vein injury during laparoscopic antireflux surgery for large para-oesophageal hiatus hernia

Anish P Nagpal, Harshad Soni, Sanjiv P Haribhakti 
 Department of Surgical Gastroenterology, Haribhakti Surgical Hospital, Ahmedabad, Gujarat - 380 006, India

Correspondence Address:
Anish P Nagpal
Department of Surgical Gastroenterology, Haribhakti Surgical Hospital, 5th Floor, Sangita Complex, Opp. Doctor House, Nr. Parimal Crossing, Ahmedabad, Gujarat - 380 006
India

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.


How to cite this article:
Nagpal AP, Soni H, Haribhakti SP. Left hepatic vein injury during laparoscopic antireflux surgery for large para-oesophageal hiatus hernia.J Min Access Surg 2009;5:72-74


How to cite this URL:
Nagpal AP, Soni H, Haribhakti SP. Left hepatic vein injury during laparoscopic antireflux surgery for large para-oesophageal hiatus hernia. J Min Access Surg [serial online] 2009 [cited 2019 Nov 18 ];5:72-74
Available from: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2009;volume=5;issue=3;spage=72;epage=74;aulast=Nagpal;type=0