Laparoscopic management of operative vena cava injury

Major vascular injury can result from trocar placement, but it is a rare ev ent during an intra-abdominal laparoscopic procedure. The authors report a major vena cava injury that occurred during a right adrenalectomy. The inju ry was managed entirely laparoscopically. Management of a major vascular in jury occurring in such circumstances requires appropriate instruments and e quipment, including a vascular clamp and good suction. Conversion to an ope n procedure is recommended if the injury cannot be safely resolved laparosc opically.