Vascular Injuries
- V. portae/V. mesenterica superior: Suturing, partial resection, and end-to-end anastomosis
- A. hepatica communis, dextra, sinistra → Patch, partial resection, and end-to-end anastomosis
- V. cava: very rare, suturing
- Vascular injury in the transverse mesocolon with perfusion disorder of the transverse colon: very rare > Resection of the ischemic bowel segment and end-to-end anastomosis
Injury to Adjacent Organs
- Stomach: very rare deserosation possible > Suturing
- Intestine: rare deserosation possible > Suturing
- Liver: rare bleeding or bile leak > Electrocoagulation, liver suturing
Pancreatitis
- Very fragile, soft pancreas or assistance error → Pressure damage from hooks
Unrecognized Dunbar Syndrome
- Compression syndrome of the celiac trunk by the medial arcuate ligament of the diaphragm → A. gastroduodenalis must not be transected! → Division of the arcuate ligament
Coagulation Damage to the Common Hepatic Duct
- Ischemic damage → later insufficiency, CAVE: Electrocoagulation