Successful surgical management of hepatic artery injury during cholecystectomy

Iatrogenic hepatic artery injury during cholecystectomy is a serious complication, often exacerbated by inflammation and anatomical variations of the vascular structures.In this case report, a 16-year-old patient undergoing laparoscopic cholecystectomy for cholecystitis sustained a hepatic artery injury.The cardiovascular surgery team performed an interposition graft using the saphenous vein to restore arterial flow.Systemic heparinization was administered intravenously at a dose of 100 IU/kg before vascular clamping.Hemostasis was achieved through temporary clamping of the celiac trunk branches.Contrastenhanced computed tomography angiography on postoperative day 5 confirmed the patency of the graft.In cases where bile duct and hepatic artery injuries occur simultaneously, a multidisciplinary approach is essential to improve patient outcomes and minimize complications.