出版社：International Medical Journal Management and Indexing System
摘要：Although endoscopic surgery outnumbered the open surgical procedures, both of these methods are still frequently performed for the surgical treatment of symptomatic cholelithiasis. Various complications have been reported after open or laparoscopic cholecystectomy. Vascular injuries are one of the most dangerous of these complications. But hepatic necrosis and atrophy due to the vascular injury after open cholecystectomy has not been previously reported. We would like to report a 74-year-old woman with right hepatic atrophy due to the hepatic necrosis, which has been evaluated for dyspeptic complaints two years after an open cholecystectomy. While abdominal ultrasonography and computed tomography revealed atrophy of the right lobe of the liver, Doppler ultrasonography showed no flow in the right hepatic artery. To our knowledge, this is the first case of hepatic atrophy due to the right hepatic necrosis associated with right hepatic artery injury after an open cholecystectomy.
关键词：open cholecystectomy; vascular injury; right hepatic necrosis.
