Bleeding/vascular injuries
- Portal vein/superior mesenteric vein → oversew, partial resection and end-to-end anastomosis
- Right, left common hepatic artery → patch, partial resection and end-to-end anastomosis
Injury to the transverse mesocolon with impaired perfusion of the transverse colon: very rare → resection of the ischemic bowel segment and end-to-end-anastomosis
Pancreatitis
Very delicate, soft pancreas or mistake by the assistant → retractor pressure injury
→ Undiagnosed Dunbar syndrome! ((trunk compression syndrome caused by arcuate ligament) → The gastroduodenal artery must not be transected! → divide arcuate ligament
Coagulation damage to common hepatic duct (ischemic damage→ leads to later insufficiency)
- →.CAUTION: Electrocautery
Organ injury
- → Oversew immediately
- → Liver: rarely bleeding or biliary leakage → electrocauterize/suture liver