Prevention and management to the injure of the branches of the middle hepatic vein during laparoscopic cholecystectomy
10.3760/cma.j.issn.1673-4203.2009.08.018
- VernacularTitle:腹腔镜胆囊切除术中肝中静脉属支损伤的预防及处理
- Author:
Xueyu CHEN
;
Mingliang WANG
;
Minhua ZHENG
- Publication Type:Journal Article
- Keywords:
laparoscopic cholecystectomy;
hemorrhage;
middle hepatic vein;
gallbladder bed
- From:
International Journal of Surgery
2009;36(8):547-550
- CountryChina
- Language:Chinese
-
Abstract:
The hemorrhage during laparoscopic cholecystectomy (LC) in operating field is a significant puzzle worries the surgeon. Besides disrupting the cystic artery hemorrhage originating from the gallbladder bed also plays a frequent role in the cause of bleeding in LC. The gallbladder bed bleeding which results from the disrupt of the branches of the middle hepatic vein is a ticklish problem in the operation. It will complicate the surgical operation, confuse the anatomic structttre, cause serious complications and is a main reason for conversion. Thus, we compose this review to expound the topographic anatomy of the branches of the middle hepatic vein as well as the prevention and treatment to the injure of the branches of the middle hepatic vein.
