Schembari Elena, Bortolussi Carlo, Coco Ornella, Teodoro Michele, Mattone Edoardo, Palumbo Valentina, Magazù Sarita, Di Carlo Isidoro
Department of Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, Cannizzaro Hospital, Catania 95126, Italy.
J Blood Med. 2019 Aug 19;10:279-281. doi: 10.2147/JBM.S215438. eCollection 2019.
Bleeding remains one of the most serious complications of laparoscopic cholecystectomy and can increase mortality. Even if several patient-related and intraoperative factors increase the risk of bleeding, complete hemostasis should be achieved at the end of each surgical procedure. Although irrigation is a standard step, its importance is often underestimated. This commentary highlights the efficacy of peritoneal lavage in identifying bleeding sources and the effect of saline temperature.
出血仍然是腹腔镜胆囊切除术最严重的并发症之一,且会增加死亡率。即使一些与患者相关的因素和术中因素会增加出血风险,但在每台手术结束时都应实现完全止血。尽管冲洗是一个标准步骤,但其重要性常常被低估。本述评强调了腹腔灌洗在识别出血源方面的功效以及盐水温度的影响。