Prevention and management of hemorrhage during laparoscopic cholecystectomy
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1008-6706.2010.06.004
- Key Word:
- 腹腔镜胆囊切除;出血;腹腔镜;处理;预防措施;Laparoscopic cholecystectomy;Hemorrhage;Laparoscope;Management;Prevention
Abstract： Objective To investigate the prevention and management of the hemorrhage during laparoscopic cholecystectomy( LC), and improve success ratio. Methods The medical data of 420 cases with LC from May 2003 to 2009, September were analyzed retrospectively, including total number, hemorrhage site and ways of prevention and management. Results 417 cases experienced successful C,with success ratio 99.3%. 49 cases ( 11.7% ) had hemorrhage, and in 46 cases(93. 9% ), it was stopped by laparoscope or hemostasis by compression,3 cases were rescued by operation. All hemorrhage sites included 15 cases(30. 6% ) in triangle de Calot,26 cases(53. 1% ) in gallbladder bed, and 8 cases ( 16.3% ) in incision. Conclusion A reliable opetration and appropriate hemostasis are critical of the successful operation and prevention of complications after LC.
- [1]布茂胜,张伟华.老年人腹腔镜胆囊切除72例临床体会[J].2006,(10).
- [2]唐仁貌,曾显云,王润春,等.腹腔镜胆囊切除并发症30例分析[J].2001,(11).
- [3]周良.腹腔镜胆囊切除术转开腹手术相关因素分析[J].2007,(6).
- [4]张小红,贾晓巍,黄秋林,等.生物蛋白胶在急性胆囊炎LC术中的应用体会[J].2002,(9).
- [5]王玉彬.腹腔镜胆囊切除术胆管损伤的预防与处理[J].2006,(2).
- [6]汪建军.腹腔镜胆囊切除术1500例临床分析[J].2006,(12).
- [7]顾建伟,郭吕,朱景元,等.腹腔镜胆囊切除术治疗胆囊结石并发急性胆囊炎疗效分析[J].2006,(22).
- [8]李钟峰,郑建盛,林建生.腹腔镜胆囊切除术在老年糖尿病患者中的应用[J].2006,(26).
- [9]武小宪,李一民,王岩,等.黏附于胆囊床的肝中静脉损伤是腹腔镜胆囊切除术胆囊床大出血的危险因素[J].2003,(3).
- [10]周敏,谢贵林,张巍,等.腹腔镜胆囊床剥离的风险防范[J].2008,(8).
- [11]李松林,任作航.胆囊动脉变异与腹腔镜胆囊切除术[J].2002,(1).
- [12]冯智,贾一鸣.腹腔镜胆囊切除术开展初期避免严重并发症的体会[J].2006,(3).
- [13]唐仲祯.腹腔镜胆囊切除术412例报告[J].2006,(10).
- [14]赵建国,岳勇,曹海峰.腹腔镜胆囊切除术5 017例临床分析[J].2008,(9).
- [15]苏域,胡少华.腹腔镜胆囊切除术并发症的防治体会[J].2006,(8).