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What Complications Would Occur If A Liver Parenchymal Tear Accidentally Occurs During A Laparoscopic Vertical Sleeve Gastrectomy Surgery?

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Posted on Wed, 20 Apr 2022
Question: After a laparoscopic vertical sleeve gastrectomy surgery should surgical clips be seen in the gallbladder fossa when patients gallbladder was removed 5 years prior
what complications would occur if surgeon caused a liver parenchymal tear
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Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
No not necessary that clips are always there.

Detailed Answer:

Hello,

No, it is not necessary that you always see clips after years of surgery sometimes they are embedded inside the connective tissue formed on the clips. Some times after few years they get loose and passes through common bile duct. Role of clips are there in achieving homeostasis post surgery that's it.

Parenchymal tear depends on the amount of damage caused because even if 60% of liver is completely damaged a patient can live normally even researches have shown that liver can regenerate itself from 20%.

So mild to moderate parenchymal tear would heal itself up in few years or would get scarred up.
Frankly no effect on functions of liver.

Hope I was helpful.
Thanks!
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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What Complications Would Occur If A Liver Parenchymal Tear Accidentally Occurs During A Laparoscopic Vertical Sleeve Gastrectomy Surgery?

Brief Answer: No not necessary that clips are always there. Detailed Answer: Hello, No, it is not necessary that you always see clips after years of surgery sometimes they are embedded inside the connective tissue formed on the clips. Some times after few years they get loose and passes through common bile duct. Role of clips are there in achieving homeostasis post surgery that's it. Parenchymal tear depends on the amount of damage caused because even if 60% of liver is completely damaged a patient can live normally even researches have shown that liver can regenerate itself from 20%. So mild to moderate parenchymal tear would heal itself up in few years or would get scarred up. Frankly no effect on functions of liver. Hope I was helpful. Thanks!