Means of haemostasis in gallbladder preserving cholecystolithotomy
10.3969/j.issn.1007-1989.2016.09.025
- VernacularTitle:微创保胆取石(息肉)术中胆囊内出血的处理技巧
- Author:
Xiaobin LIAO
;
Guoliang WANG
;
Fang ZHAO
;
Shixiong YANG
- Keywords:
gallbladder preserving cholecystolithotomy;
therapy/bleeding;
high-frequency electric knife
- From:
China Journal of Endoscopy
2016;22(9):105-107
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the means of haemostasis in gallbladder preserving cholecystolithotomy. Methods The clinical data of 31 cases were retrospectively analyzed, summarizes the successful experiences. Results There appeared 31 cases the gallbladder internal bleeding in 512 cases gallbladder preserving cholecystolithotomy. In all the cases, 31 operations were stopped bleeding satisfactorily and performed successfully without conversion to conventional laparoscopic surgery, without perforation of gallbladder. pressure and lavage hemostasis had common effect, the control coagulation hemostasis had satisfaction rate 96.6%. Except one patient used gallbladder whole layers suture method. Conclusion The control coagulation hemostasis with the high-frequency electric knife is the optimal way, pressure and lavage hemostasis is basal, and gallbladder whole layers suture method is supplement.