腹腔镜胆囊切除术中胆囊动脉出血16例处理体会

    Management of cystic artery bleeding during laparoscopic cholecystectomy: report of 16 cases

    • 摘要: 目的:探讨腹腔镜胆囊切除术中胆囊动脉出血的处理对策。方法:回顾性分析16例腹腔镜胆囊切除术中发生胆囊动脉出血原因,处理方法采用牵引孔吸尽,交换钳头,钛夹钳夹止血。结果:术后未发生继发出血,无胆管损伤。中转开腹1例。结论:胆囊动脉出血是腹腔镜胆囊切除术术中出血的常见原因,只要术者掌握腹腔镜手术技巧及相应处理对策,均能获到满意的效果。

       

      Abstract: Objective: To investigate the managements of cystic artery bleeding during laparoscopic cholecystectomy(LC).Methods: Sixteen cases with cystic artery bleeding following LC were analyzed retrospectively.These methods including absorbing tractional pore completely,exchanging the clips,clipping the artery using titanium clips were utilized to against bleeding.Results: No rebleeding or biliary injury was happened after operation.Only one patient was transformed to open surgery during operation.Conclusions: Cystic artery bleeding is a common cause in the bleeding of laparoscopic cholecystectomy.For a surgeon,mastering proficient laparoscopic technique and management can obtain satisfactory results.

       

    /

    返回文章
    返回