Prevention and management of hemorrhage during laparoscopic cholecystectomy
10.3760/cma.j.issn.1008-6706.2010.06.004
- VernacularTitle:腹腔镜胆囊切除术中出血的预防和处理方法
- Author:
Ming GAO
;
Jie YANG
- Publication Type:Journal Article
- Keywords:
Laparoscopic cholecystectomy;
Hemorrhage;
Laparoscope;
Management;
Prevention
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(6):727-728
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the prevention and management of the hemorrhage during laparoscopic cholecystectomy( LC), and improve success ratio. MethodsThe medical data of 420 cases with LC from May 2003 to 2009, September were analyzed retrospectively, including total number, hemorrhage site and ways of prevention and management. Results417 cases experienced successful C,with success ratio 99.3%. 49 cases ( 11.7% ) had hemorrhage, and in 46 cases(93. 9% ), it was stopped by laparoscope or hemostasis by compression,3 cases were rescued by operation. All hemorrhage sites included 15 cases(30. 6% ) in triangle de Calot,26 cases(53. 1% ) in gallbladder bed, and 8 cases ( 16.3% ) in incision. ConclusionA reliable opetration and appropriate hemostasis are critical of the successful operation and prevention of complications after LC.