腹腔镜外科杂志2017，Vol.22Issue(5)：364-367,4.DOI:10.13499/j.cnki.fqjwkzz.2017.05.364
腹腔镜胆囊切除术中胆囊动脉出血的处理体会
Treatment experience of cystic artery bleeding during laparoscopic cholecystectomy
王家兴 1刘泽良 1朱建方1
作者信息
- 1. 攀钢集团总医院,四川 攀枝花,617063
- 折叠
摘要
Abstract
Objective:To investigate the cause and treatment of cystic artery bleeding during laparoscopic cholecystectomy (LC).Methods:Clinical parameters of 12 cases of cystic artery bleeding during LC from Jan.2013 to Aug.2016 were retrospectively analyzed.Results:All cases successfully underwent laparoscopic hemostatic treatment and LC,none was converted to laparotomy.The average operation time was (87.60±17.40) min (range,30-150 min),and intraoperative blood loss was (63.10±11.20) ml (range,30-150 ml).Postoperative hospital stay was (5.10±0.67) d (range,2-5 d).All patients were followed up for (18.4±2.1) months after operation (range,6-24 months),and recovered well with no complications occurred.Conclusions:The causes of cystic artery bleeding during LC are various,including the factor of anatomy,pathology,operation technique and so on.Sometime,the result is caused by multiple factors.Operators should be calm during handling cystic artery bleeding,choose the individualized hemostatic treatment according to the situation of vascular injury,the experience and technique of the operator,and avoid confused clamping and electrocoagulation for hemostasis in a blurred vision.关键词
胆囊切除术,腹腔镜/胆囊动脉/出血Key words
Cholecystectomy/laparoscopic/Cystic artery/Hemorrhage分类
医药卫生引用本文复制引用
王家兴,刘泽良,朱建方..腹腔镜胆囊切除术中胆囊动脉出血的处理体会[J].腹腔镜外科杂志,2017,22(5):364-367,4.
