直肠癌手术中骶前大出血的原因与处理

Causes and surgical management of massive presacral bleeding during rectal cancer resection

直肠癌手术中骶前静脉丛大出血是最可能危及生命的并发症之一,其处理极具挑战性。目前临床上有较多的止血处理方法,缝合结扎、填塞和按钉等处理措施尽管比较有效,但有时也会失败。常规的止血措施无效时,临床上需要去探寻新的、容易操作的有效止血方法。

Massive bleeding from the presacral venous plexus is a potentially life-threatening complication of rectal cancer surgery , and its surgical managements remain challenging .The morbidity and mortality that stems from severe hemorrhage has led to the development of various hemostatic techniques . Suture ligature , packing , and placement of tacks could be effective in most of time; however , hemostatic failure could also happen .When these conventional hemostatic managements fail , more effective, readily available and life-saving hemostatic approaches require to be developed .