Laparoscopic Major Vascular Injuries Report of Two Cases and Review

Laparoscopic surgery is the standard of care for various abdominal pathologies due to its apparent advantages. Unintentional and accidental injuries of the intraabdominal organs and vessels caused by trocars and Veress needles are rare, but potentially fatal complications of laparoscopic surgery. Veress needle and trocar can cause major vascular, bowel, or urinary tract injuries. We report two cases of vascular laparoscopic entry injuries. Laparoscopic entry injuries are rare but life-threatening and can cause multiple organ dysfunctions. Therefore, early recognition, aggressive resuscitation, and appropriate management of laparoscopic entry injuries are vital for better outcomes.

Automated summary

Laparoscopic surgery is the standard of care for various abdominal pathologies. However, unintentional injuries to intraabdominal organs and vessels caused by trocars and Veress needles can be rare yet potentially fatal complications. We present two cases of vascular laparoscopic entry injuries. Early recognition, aggressive resuscitation, and appropriate management of these injuries are vital for better outcomes.