Chao S H, Lee P H
Department of Surgery, National Taiwan University Hospital, Taipei, Republic of China.
Surg Endosc. 1994 Oct;8(10):1230-1. doi: 10.1007/BF00591058.
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.
对一名患有胆结石的肝硬化患者进行了腹腔镜胆囊切除术。尽管存在凝血功能障碍，但胆囊和结节状肝脏的过度出血是可以避免的。胆囊的解剖和摘除过程顺利。然而，在拔出套管针/套管后，套管针穿刺部位发生了严重出血。电灼无法控制出血。尝试了一种使用经壁缝合技术的新方法，止血效果令人满意。我们的患者术后恢复顺利，术后2天出院。
