中国实用外科杂志

中国实用外科杂志 ›› 2022, Vol. 42 ›› Issue (05): 532-534.DOI: 10.19538/j.cjps.issn1005-2208.2022.05.13

• 专题笔谈 • 上一篇    下一篇

腹腔镜胰十二指肠切除术中出血特点及处理

成    伟，代满雄   

  1. 湖南师范大学附属第一医院  湖南省人民医院胰脾外科，湖南长沙 410005
  • 出版日期:2022-05-01 发布日期:2022-05-17

  • Online:2022-05-01 Published:2022-05-17

摘要： 术中出血是腹腔镜胰十二指肠切除术中转开放手术最主要原因之一，其具有观察和暴露困难、处理困难、技术学习曲线长等特点。熟知腹腔镜手术中出血特点、明晰血管解剖、分类分场景处理出血、做好团队和技术储备，才能安全防范和处理出血，顺利完成手术。

关键词: 腹腔镜胰十二指肠切除术, 术中出血, 止血

Abstract: Characteristics and management of bleeding during laparoscopic pancreatoduodenectomy        CHENG Wei, DAI Man-xiong. Department of Hepatobiliary Surgery, the First Hospital of Hunan Normal University, Hunan Provincial People’s Hospital, Changsha 410005, China 
Corresponding author: CHENG Wei, E-mail: 13974866177@163.com
Abstract    Intraoperative bleeding is one of the main reasons for conversion to laparotomy in laparoscopic pancreaticoduodenectomy, which is characterized by difficulty in observation and exposure, difficulty in disposal, and a long technical learning curve. It is suggested that only by knowing well the characteristics of endoscopic hemorrhage, distinguishing vascular anatomy, classifying and treating hemorrhage in different scenarios, and making a good team and technical reserve, can the operation be successfully completed. 

Key words: laparoscopic pancreaticoduodenectomy, intraoperative hemorrhage, hemostasis