Bhattacharya S, Tate J J, Davidson B R, Hobbs K E
University Department of Surgery, Royal Free Hospital and School of Medicine, London, U.K.
HPB Surg. 1994;7(4):291-6. doi: 10.1155/1994/31586.
Of 61 consecutive patients undergoing laparoscopic cholecystectomy, 4 (6.25%) developed abdominal wall haematomas. This complication of laparoscopic cholecystectomy may occur more commonly than existing literature suggests, and manifests in the post-operative period (days 2 to 6) by visible bruising, excessive pain or an asymptomatic drop in haematocrit. It is readily confirmed by ultrasonography. While no specific treatment is necessary apart from replacement of significant blood loss, the patient requires reassurance that this apparently alarming complication will rapidly resolve.
在连续接受腹腔镜胆囊切除术的61例患者中，有4例（6.25%）出现腹壁血肿。腹腔镜胆囊切除术的这一并发症可能比现有文献所提示的更为常见，且在术后（第2至6天）表现为可见的瘀斑、过度疼痛或血细胞比容无症状下降。通过超声检查很容易确诊。除了补充大量失血外，无需特殊治疗，但患者需要得到保证，这种看似令人担忧的并发症会迅速消退。
