Article Text

Download PDFPDF

Preoperative portal vein embolization followed by right hepatectomy to treat a complex common bile duct injury in a 5-year-old child
  1. Juan Glinka,
  2. Rocio Bruballa,
  3. Martin de Santibañes,
  4. Rodrigo Sanchez Clariá,
  5. Victoria Ardiles,
  6. Oscar María Mazza,
  7. Juan Pekolj and
  8. Eduardo de Santibañes
  1. Department of General Surgery, Hepato-bilio-pancreatic and Liver Transplantation Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  1. Correspondence to Dr Juan Glinka; juan.glinka{at}hospitalitaliano.org.ar

Abstract

Background Common bile duct injuries (CBDIs) remains a rare but serious complication in children undergoing laparoscopic cholecystectomy (LC), with an incidence of 0.44%. In severe lesions, a major liver resection may be necessary as a definitive treatment. The current principles for safe hepatectomy are mainly focused on the liver parenchyma that remains after resection. Therefore, one of the main factors related to posthepatectomy hepatic insufficiency is the quantity and quality of the future liver remnant (FLR). To achieve an optimal FLR, techniques such as portal vein embolization (PVE) are available.

Case presentation We present the case of a 5-year-old child with a severe CBDI after LC, treated with preoperative PVE followed by a right hepatectomy as definitive treatment. No reports of liver resections and PVE are described in the literature concerning the pediatric population.

  • cholecystectomy
  • laparoscopic
  • hepatectomy
  • pediatrics

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors JG and RB designed the study and wrote the initial draft of the manuscript. RB, MdS, and EdS contributed to analysis and interpretation of data, and assisted in the preparation of the manuscript. All other authors have contributed to data collection and interpretation, and critically reviewed the manuscript. All authors approved the final version of the manuscript, and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Ethics approval The Ethics Committee at Hospital Italiano de Buenos Aires.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.