Interventional treatment for hemorrhage following hepatic biliary and pancreatic surgery

VernacularTitle:肝胆胰术后出血介入治疗10例临床分析
Author: Jiasheng HUANG ; Fuzhen QI ; Jinsheng WU ; Xuan WANG ; Wei CHEN
Publication Type:Journal Article
Keywords: Hemorrhage; Embolization
From: Chinese Journal of General Practitioners 2012;11(5):362-364
CountryChina
Language:Chinese
Abstract: Interventional management was performed in 10 patients with hemorrhage following hepatic biliary and pancreatic surgery.The super-selection arterial embolization was performed in 9 patients using gelfoam pledgets (n =6 ) or metal coils (n =3 ),the procedure was combined with local infusion of reptilase; 1 case was managed by local infusion of reptilase alone.Selective angiography revealed the pseudoaneurysm in 3 cases,contrast media extravasation in 6 cases; in 1 case no obvious bleeding site was found The interventional treatment was successful and hemorrhage stopped in all patients,including one case with reptilase alone with a successful rate of 10/10.The results indicate that interventional treatment is a safe and effective method for hemorrhage following hepatic biliary and pancreatic surgery.