CAJ | 학술논문

目的：讨论腹腔镜胆囊切除术中出血原因及治疗、预防体会。方法：2008年5月至2013年5月46例腹腔镜胆囊切除术中出血的原因、部位及术中处理方法进行回顾性分析。结果：本组所有出血病例均得到了有效控制，全部病例术中止血成功，无再出血、胆道损伤、胆漏等。结论：合理选择手术适应证是手术成功的关键因素，术中仔细辨认胆囊三角解剖结构，轻柔分离，出血后选择合理的止血方法可有效控制出血，避免严重并发症的出现。
목적：토론복강경담낭절제술중출혈원인급치료、예방체회。방법：2008년5월지2013년5월46례복강경담낭절제술중출혈적원인、부위급술중처리방법진행회고성분석。결과：본조소유출혈병례균득도료유효공제，전부병례술중지혈성공，무재출혈、담도손상、담루등。결론：합리선택수술괄응증시수술성공적관건인소，술중자세변인담낭삼각해부결구，경유분리，출혈후선택합리적지혈방법가유효공제출혈，피면엄중병발증적출현。
Objective:To discusses the causes of bleeding in laparospic cholecystectomy( LC),prevention measures of bleeding and hemostasis. Methods:The causes and sites of bleeding and countermeasures for it in the course of LC were retro-spectively analyzed in 46 cases of LC treated in our hospital form may 2008 to may 2013. Results:All the bleeding cases were effectively controlled and Hemostasis was successfully conducted in all of them during the operation,with no recurrent hemor-rhage,bile duct injury and bile leakage. Conclusion:Selection of appropriate surgical indications is the crucial factor for the ac-complishment of operation. Bleeding can be well controlled and severe complications can be avoided through exactly identifying Calot triangle anatomy structure,isolating softly and selecting rational hemostatic methods after bleeding.