Bleeding/Vascular Injuries
- V. portae/V. mesenterica superior → Oversewing, partial resection, and end-to-end anastomosis
- A. hepatica communis, dextra, sinistra → Patch, partial resection, and end-to-end anastomosis
Injury to the Transverse Mesocolon with Perfusion Disorder of the Transverse Colon
- very rare → Resection of the ischemic bowel segment and end-to-end anastomosis
Pancreatitis
- very fragile, soft pancreas or assistance error → Pressure damage due to hook
Unrecognized Dunbar Syndrome
- Compression syndrome of the celiac trunk by the medial arcuate ligament of the diaphragm → A. gastroduodenalis must not be severed! → 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