TRANSMURAL SUTURE TECHNIQUE FOR TROCAR-SITE BLEEDING FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY

被引:4
作者
CHAO, SH
LEE, PH
机构
[1] Department of Surgery, National Taiwan University Hospital, Taipei, No. 1, Chang-Te Street Taipei
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 10期
关键词
LAPAROSCOPIC CHOLECYSTECTOMY; CIRRHOSIS OF LIVER; COMPLICATION; HEMORRHAGE;
D O I
10.1007/BF00591058
中图分类号
R61 [外科手术学];
学科分类号
摘要
Laparoscopic cholecystectomy was performed in a cirrhotic patient who had cholelithiasis. Despite the existence of coagulopathy, excessive bleeding from the gallbladder and nodular liver was avoidable. Dissection and extraction of the gallbladder went smoothly. However, serious bleeding from the trocar site occurred following the withdrawal of the trocar/cannula. The bleeding was not controllable by electrocauterization. A novel attempt using a transmural suture technique was tried, and hemostasis was achieved satisfactorily. Our patient enjoyed an uneventful postoperative recovery and was discharged 2 days after surgery.
引用
收藏
页码:1230 / 1231
页数:2
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