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Nonbiliary Complications of Laparoscopic Cholecystectomy
            series we had managed three cases of access-related complications.   conclusIon
            Two colonic and one inferior vena cava. Both the colonic injuries
            were dealt immediately by doing laparotomy and repair of colonic   Nonbiliary injuries are not uncommon after laparoscopic
            laceration. There was uneventful outcome in both the cases. Inferior   cholecystectomy and are of significant severity. Adherence to basic
            vena cava injury patient was a young male. He sustained injury to   principles of laparoscopic surgery with proper attention in creating
            inferior vena cava during primary port placement in a peripheral   pneumoperitoneum and meticulous dissection reduces the
            hospital. Despite immediate laparotomy by primary surgical team   chances of complication. Early detection followed by therapeutic
            and re exploration at our center, patient succumbed secondary to   intervention can help to reduce morbidity and mortality.
                                                    10
            disseminated intravascular coagulopathy. Roviaro et al.  in a review
            of literature on major vascular injuries during laparoscopic surgery   references
            has quoted high mortality rate associated with this complication.     1.  Rajdeep S, Robin SK, Rajeev SK, et al. Non-biliary mishaps during
                       11
            Chandler et al.  has shown that delayed recognition of vascular   laparoscopic cholecystectomy. Indian J Gastroenterol 2004;23(2):
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                                         13
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                                                                    12.1207.
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            safer than closed technique.  Optical trocar method has also     5.  Deziel DJ. Complications of laparoscopic cholecystectomy: a national
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               We managed six cases of dissection-related injury. Of the six      7.  Wherry DC, Marohn MR, Malanoski MP, et al. An external audit of
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                                                     18
            reported to be 0.04% (0.01–0.04%) in the literature.  Majority   00006.
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