Liver Sinusoid LC

Laparoscopic cholecystectomy is one of the most frequently performed procedures in gastrointestinal surgery worldwide. Bleeding complications due to vascular injuries represent an important cause of morbidity and mortality, especially when facing major bleeding during laparoscopy, where bleeding control can be technically challenging in inexperienced hands. Bleeding from truma to big sinusoids may need suture ligation of liver bed sinusoid. Venous bleeding is less common than arterial bleeding. Bleeding from hepatic vein injury commonly comes from the liver bed during detachment of the gallbladder. Between 10% and 15% of patients may present a large branch of the middle hepatic vein adherent to the liver bed, leading to an increased risk of venous injury during cholecystectomy.