Vascular injury during laparoscopic cholecystectomy: An often-overlooked complication

Core Tip

Core Tip: The theme of biliary injuries in laparoscopic cholecystectomy and the prevention and management of bile duct lesions have been extensively exanimated. However, little attention has been given to vascular injuries. Bleeding complications due to vascular injuries represent an important cause of morbidity and mortality, as well as the negative outcomes of biliary reconstruction when associated with biliary injuries. The vascular lesions should be correctly identified, and surgeons must choose the best therapeutic option to quickly repair the vascular lesion, depending on their own surgical experience and medical center resources. Currently, the management of referrals to specialized hepatobiliary centers for multidisciplinary approaches is mandatory.