I underwent a Laparascopic Nissen Fundoplication procedure on May 15th here in the UK. The surgeon had an excellent reputation and I have great confidence in him. Unfortunately, he was unable to complete the operation as he found an artery running through a ligament supplying the left lobe of my liver. They have to cut this ligament in order to gain enough access to perform the wrap but despite spending additional effort trying to gain access without dividing the ligament, he had to withdraw due to concerns about damaging the artery.
He was able to complete Hiatal hernia repair prior to this, however.
I have done some research on this since and found that approx. 15% of patients have what is called an Aberrant Left Hepatic Artery running through this Gastrohepatic ligament. This can be either an 'Accessory' (extra) or 'Replaced' (replaces typical left hepatic artery). I understand an angiogram can reveal which role this artery plays.
He was very apologetic saying how sorry he was that he could not complete the operation and he understood how much the symptoms were affecting my quality of life.
The symptoms have been the same since the Op and I'm beginning to slip into a depression as I feel my life is on hold. I don't feel I have the capacity to deal with the usual stresses and challenges of family and work life at the moment.
I was wondering if anyone has experienced this and if they had a resolution.
I understand that this artery can be preserved and some surgeons (especially in the US) even go ahead and transect this ligament regardless, on the basis that damaging the left lobe of liver is unlikely when an ALHA is present.
Obviously I am concerned about damaging my liver even if an Angiogram revealed the artery was an 'accessory'.
Also, I was wondering if the new LINX procedure requires transection of this ligament too as this may be an option.
Can anyone offer advice or guidance? 
Post Edited (Mantgibbons) : 7/16/2015 8:27:33 AM (GMT-6)