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外科研究与新技术 ›› 2017, Vol. 6 ›› Issue (1): 21-23.

• 论著 • 上一篇    下一篇

胆囊床门静脉分支异常扩张胆囊切除术的诊治要点

刘鹏飞1,刘凯1,叶春1,徐雯2   

  1. 1. 同济大学附属同济医院普外科
    2. 上海市虹口区欧阳医院放射科
  • 收稿日期:2016-10-17 修回日期:2016-11-01 出版日期:2017-03-28 发布日期:2017-04-04
  • 通讯作者: 刘鹏飞 E-mail:lpf10113@sina.com

The main points of cholecystectomy in liver cirrhosis patients with portal vein branch abnormal expansion of gallbladder bed.

  • Received:2016-10-17 Revised:2016-11-01 Online:2017-03-28 Published:2017-04-04
  • Contact: Pengfei LIU E-mail:lpf10113@sina.com

摘要: 【摘要】通过2例合并肝硬化的胆囊切除术病例分析了术中发生出血的原因,指出要特别注意因门静脉高压而可能出现胆囊床门静脉分支异常扩张甚至突出于胆囊床,从而导致术中大出血的发生,同时探讨了相应的处理方法。另外,对此类病人容易发生术中出血的其他情况也进行了相应的探讨。

关键词: 异常扩张门静脉分支, 胆囊切除术, 术中出血, 肝硬化。

Abstract: 【Abstract】This paper analyzes the intraoperative hemorrhage occurs reason of two cases with gallstone and liver cirrhosis, points out that it is important to pay special attention to the abnormal expansive portal vein branch of gallbladder bed . Sometimes they may protrude from the gallbladder bed, which leads to the occurrence of intraoperative bleeding. At the same time corresponding treatment methods are discussed. In addition, for such patients are prone to the other of intraoperative bleeding is also discussed accordingly.

Key words: Abnormal expansive portal vein branch, Cholecystectomy, Intraoperative hemorrhage, Liver cirrhosis.