PMC6458879_01
After dissection of the gallbladder from the gallbladder fossa, a small amount of bile leakage was detected in the gallbladder fossa (a). A tiny hole from which bile juice was oozing was confirmed (b). Suturing of the injured SVBD was performed laparoscopically using 3-0 prolene (c). After suturing, the bile leakage stopped (d).
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fig1
After dissection of the gallbladder from the gallbladder fossa, a small amount of bile leakage was detected at the fundus side of the gallbladder fossa (Figure 1(a)). By scrutinizing laparoscopically, a tiny hole from which bile juice was oozing was confirmed, and we made a diagnosis of SVBD injury (Figure 1(b)). After changing the 5-mm port at the epigastric fossa to a 10-mm port, suturing of the injured SVBD was performed laparoscopically using 3-0 prolene, and the bile leakage was stopped (Figures 1(c) and 1(d)).
PMC6458879_02
A small amount of bile leakage occurred from the surface of the liver adjacent to the gallbladder fossa (a). After dissection of the gallbladder, the presence of a bile duct injury at the surface of the liver was confirmed (b). Suturing of the injured SVBD was performed laparoscopically (c). After suturing, the bile leakage stopped (d).
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fig2
During adhesiolysis around the gallbladder, a small amount of bile leakage occurred from the surface of the liver adjacent to the gallbladder fossa (Figure 2(a)). SVBD injury at the surface of the liver was confirmed laparoscopically (Figure 2(b)). Suturing of the injured SVBD was performed laparoscopically, and the bile leakage was stopped (Figures 2(c) and 2(d)).
Each circle indicates the location of the injured SVBD in Case 1 (a) and Case 2 (b).
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The locations of the injured SVBD are indicated in Figures 3(a) and 3(b), respectively.