Resumo

ARELLANO, Nelson Dario  e  PAEZ, Larissa Inés. Right hepatectomy for post-cholecystectomy bile duct injury. An. Fac. Cienc. Méd. (Asunción) [online]. 2021, vol.54, n.3, pp.161-166. ISSN 1816-8949.  https://doi.org/10.18004/anales/2021.054.03.161.

A 54-year-old female underwent a planned laparoscopic cholecystectomy due to a symptomatic cholecystolithiasis, the procedure was converted to an open approach due to the presence of a not located perioperative bilirhagia, treated with a primary suture of the gallbladder bed under the suspicion of an aberrant duct of Luschka.

On the 20th postoperative day, the patient is diagnosed with a biliary fistula after the appearance of bilirhagia through the surgical wound. A percutaneous transhepatic cholangiography showed a complete loss of continuity with leakage at that level, confirming the right hepatic duct injury, with a retracted cut end from the hepatic duct. Due to the complex proximal bile duct injury, 3 months after the first surgery, a right hepatectomy is performed. Although an hepatectomy is not a standard procedure for patients with IBDI, it should be considered as a part of the surgical armamentarium for the repair of a selected group of patients in postcholecystectomy injuries.

Palavras-chave : Hepatectomy; Bile duct Injury; Cholecystectomy..

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