Abnormal right hepatic artery injury resulting in right hepatic atrophy: diagnosed by laparoscopic cholecystectomy

Martino, Valter; Ferrarese, Alessia; Bindi, Marco; Marola, Silvia; Gentile, Valentina; Rivelli, Matteo; Ferrara, Yuri; Enrico, Stefano; Berti, Stefano; Solej, Mario

doi:10.1515/med-2015-0090

Cited by 6 publications

(2 citation statements)

References 16 publications

(11 reference statements)

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“…The earlier LC studies demonstrated an anomaly of right hepatic artery and were being disrupted during excessive hemorrhage throughout Calot's triangle dissection [27]. The outline with the surgery described the explanation for blood loss and also the intra-operative management with unspecified amounts of clips [27]. Ding et al, witnessed aberrant RHA in 18 (3%) of cases in their study [4].…”

Section: Aberrant Right Hepatic Artery (Rha)mentioning

confidence: 97%

“…According to recent publicized research, focusing on the patients with combined bile duct and hepatic artery injuries during LC revealed, formation of liver abscesses in three of four cases and stricture's anastomotic site by 50% of four sufferers; on the other hand, these complications just weren't recognized in cases with separated biliary duct injuries [26]. The earlier LC studies demonstrated an anomaly of right hepatic artery and were being disrupted during excessive hemorrhage throughout Calot's triangle dissection [27]. The outline with the surgery described the explanation for blood loss and also the intra-operative management with unspecified amounts of clips [27].…”

Section: Aberrant Right Hepatic Artery (Rha)mentioning

confidence: 99%

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Cystic Artery Variations and Associated Vascular Complications in Laparoscopic Cholecystectomy

Prasoon¹,

Katada²,

Miura³

et al. 2020

Digestive System - Recent Advances

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Substantial knowledge of the arterial supply and its anatomical variations of the gall bladder and liver are important in all the hepatobiliary surgical procedures. The arterial supply of gallbladder called cystic artery (CA) is a vital structure required to get ligated or clipped in the path of laparoscopic cholecystectomy. The possible concerns like intra-operative bleeding or adjoining accidental injuries will almost always be focused on the research consisting of dissection and clipping with cystic artery. Pseudoaneurysm of the cystic artery has additionally been belonging to the presence of acute cholecystitis or pancreatitis. An original supply of CA is usually assessed depending on the existence of hepatic artery variants. Laparoscopic cholecystectomy is really a recent and arduous noninvasive procedure and might even result in substantial unintended effects possibly iatrogenic or in the form of post-procedural complications. The perfect knowledge of anatomy in addition to feasible variation of cystic artery is mandatory. An efficient operative strategy and consciousness are probably the key components with all the results and marginal likelihood of complications, which often can be ultimately attainable. Within this chapter, we have attempted to explore some variations of cystic artery, complications and management.

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Section: Aberrant Right Hepatic Artery (Rha)mentioning

confidence: 97%

Section: Aberrant Right Hepatic Artery (Rha)mentioning

confidence: 99%

Cystic Artery Variations and Associated Vascular Complications in Laparoscopic Cholecystectomy

Prasoon¹,

Katada²,

Miura³

et al. 2020

Digestive System - Recent Advances

View full text Add to dashboard Cite

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Learning curve for endorectal ultrasound in young and elderly: lights and shades

et al. 2016

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AbstractAim of the study is to highlight difficulties faced by an inexperienced surgeon in approaching endorectal-ultrasound, trying to define when learning curve can be considered complete.A prospective analysis was conducted on endorectal-ultrasound performed for subperitoneal rectal adenocarcinoma staging in the period from January 2008 to July 2013, reported by a single surgeon of Department of Oncology, Section of General Surgery, “San Luigi Gonzaga” Teaching Hospital, Orbassano (Turin, Italy); the surgeon had no previous experience in endorectal-ultrasound. Fourty-six endorectal-ultrasounds were divided into two groups: early group (composed by 23 endorectal-ultrasounds, made from January 2008 to May 2009) and late group (composed by 23 endorectal-ultrasound, carried out from June 2009 to July 2013).In our experience, the importance of a learning curve is evident for T staging, but no statystical significance is reached for results deal with N stage.We can conclude that ultrasound evaluation of anorectal and perirectal tissues is technically challenging and requires a long learning curve. Our learning curve can not be closed down, at least for N parameter.

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The learning curve of laparoscopic holecystectomy in general surgery resident training: old age of the patient may be a risk factor?

et al. 2016

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AbstractA well-designed learning curve is essential for the acquisition of laparoscopic skills: but, are there risk factors that can derail the surgical method? From a review of the current literature on the learning curve in laparoscopic surgery, we identified learning curve components in video laparoscopic cholecystectomy; we suggest a learning curve model that can be applied to assess the progress of general surgical residents as they learn and master the stages of video laparoscopic cholecystectomy regardless of type of patient.Electronic databases were interrogated to better define the terms “surgeon”, “specialized surgeon”, and “specialist surgeon”; we surveyed the literature on surgical residency programs outside Italy to identify learning curve components, influential factors, the importance of tutoring, and the role of reference centers in residency education in surgery. From the definition of acceptable error, self-efficacy, and error classification, we devised a learning curve model that may be applied to training surgical residents in video laparoscopic cholecystectomy.Based on the criteria culled from the literature, the three surgeon categories (general, specialized, and specialist) are distinguished by years of experience, case volume, and error rate; the patients were distinguished for years and characteristics. The training model was constructed as a series of key learning steps in video laparoscopic cholecystectomy. Potential errors were identified and the difficulty of each step was graded using operation-specific characteristics. On completion of each procedure, error checklist scores on procedure-specific performance are tallied to track the learning curve and obtain performance indices of measurement that chart the trainee’s progress.Conclusions. The concept of the learning curve in general surgery is disputed. The use of learning steps may enable the resident surgical trainee to acquire video laparoscopic cholecystectomy skills proportional to the instructor’s ability, the trainee’s own skills, and the safety of the surgical environment. There were no patient characteristics that can derail the methods. With this training scheme, resident trainees may be provided the opportunity to develop their intrinsic capabilities without the loss of basic technical skills.

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Abnormal right hepatic artery injury resulting in right hepatic atrophy: diagnosed by laparoscopic cholecystectomy

Cited by 6 publications

References 16 publications

Cystic Artery Variations and Associated Vascular Complications in Laparoscopic Cholecystectomy

Cystic Artery Variations and Associated Vascular Complications in Laparoscopic Cholecystectomy

Learning curve for endorectal ultrasound in young and elderly: lights and shades

The learning curve of laparoscopic holecystectomy in general surgery resident training: old age of the patient may be a risk factor?

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