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

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。

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.