Bleeding/vascular injuries
- V. portae/V. mesenterica superior → oversewing, partial resection and end-to-end suture
- A. hepatica communis, dextra, sinistra → patch, partial resection and end-to-end suture
Injury to the transverse mesocolon with perfusion disorder of the transverse colon
- very rare → resection of the ischaemic bowel segment and end-to-end anastomosis
Pancreatitis
- very fragile, soft pancreas or assistance error → pressure damage caused by the retractor
Unrecognised Dunbar syndrome
- Compression syndrome of the truncus coeliacus by the median arcuate ligament of the diaphragm → the A. gastroduodenalis must not be divided! → division of the arcuate ligament
Coagulation Damage to the Common Hepatic Duct (ischemic damage → later insufficiency)
- CAVE: Electrocoagulation
Injury to Organs
- Immediate oversewing
- Liver: rare bleeding or bile leak → electrocoagulation, liver suture