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首页> 外文期刊>World Journal of Gastroenterology >Trocar-related abdominal wall bleeding in 200 patients after laparoscopic cholecistectomy: Personal experience.
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Trocar-related abdominal wall bleeding in 200 patients after laparoscopic cholecistectomy: Personal experience.

机译：腹腔镜胆囊切除术后200例与套管针相关的腹壁出血：个人经验。

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摘要

AIM: To determine the complications and incidence of the first and second access-related vascular injuries induced by videolaparoscopic cholecistectomy. METHODS: We retrospectively reviewed vascular injuries in 200 consecutive patients who underwent videolaparoscopic cholecistectomy from 2003 to 2005. One hundred and one patients with placement of radial expanding trocars were assigned into group A and 99 patients with placement of pyramidal tipped trocars into group B. All the patients were submitted to open access according to Hasson for the first trocar. RESULTS: Bleeding did not occur at the intraoperative cannula-site in group A. However, it occurred at the intraoperative cannula-site of 7 patients (7.1%) in group B, with a statistically significant difference (P < 0.01). No mortality was registered. More vascular lesions were found in group B. CONCLUSION: The advantage of Hasson technique is that peritoneal cavity access is gained under direct vision, preventing most severe injuries. The open technique with radial expanding trocars is recommended for secure access to the abdominal cavity in videolaparoscopy. Great care should be taken to avoid major complications and understanding the abdominal wall anatomy is important for reducing bleeding during or after s placement of trocars.
机译：目的：确定电视腹腔镜胆囊切除术引起的第一和第二通路相关血管损伤的并发症和发生率。方法：我们回顾性分析了2003年至2005年连续200例行腹腔镜胆囊切除术的患者的血管损伤。A组分配了110例放射状扩张的套管针患者，B组分配了99例具有圆锥形锥形套管针的患者。所有根据哈森（Hasson）的要求，患者接受了第一个套管针的开放通道。结果：A组术中未在术中插管处发生出血。但是，B组中7例（7.1％）在术中插管处发生了出血，差异有统计学意义（P <0.01）。没有死亡记录。在B组中发现了更多的血管病变。结论：Hasson技术的优点是在直视下可以进入腹膜腔，从而可以防止最严重的伤害。推荐使用放射状套管针的开放技术，以确保在腹腔镜检查中安全进入腹腔。应格外小心，避免重大并发症，并且了解腹壁解剖结构对于减少放置套管针期间或之后的出血很重要。

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