Intraoperative Tumor Injury:
Should be strictly avoided, as tumor rupture is associated with a very high risk of peritoneal dissemination.
Injury to Vessels
Therapy: Suturing
Injury to Bile Ducts
Therapy: Suturing, if necessary, T-drainage
Injury to the Pancreas
Therapy: Suturing and extensive drainage
Injury to the Spleen
Therapy: Coagulation using Argon beam, fleece-supported tissue adhesion e.g. with TachoSil® (see Medical Equipment tab), last resort: Splenectomy