Cholecystitis postoperative complications

Although cholecystectomy is a relatively safe operation, but because the liver, gallbladder and bile duct system more artery of the variance in acute cholecystitis, edema, or congestive due to a recurrent inflammation of the dense adhesions, with some doctors Lack of experience, it appears the operation of the accident are also non-rare. Now in operation may arise in the accident and deal with summarized as follows: (1) of bleeding in the accident. Bleeding may have the following circumstances: ① cystic artery bleeding. The reason for the operation may damage or artery ligation cystic artery ligation cut off the line after the loss. ② gallbladder bed of abnormal bleeding. Most of the reasons for liver dysfunction clotting mechanisms are affected, or the separation of the Department of the gallbladder, the liver caused by excessive surface damage. ③ vein bleeding around the common bile duct. In cirrhosis, portal hypertension patients, often around the common bile duct and expansion of the vein, when the separation of the gallbladder, the vein can cause injury and bleeding. Prevention is to: preoperative should be emphasized that a comprehensive check to see liver function and blood coagulation, in the operation should be careful of, not the blind pursuit of speed of operation, in the event of bleeding, should be dealt with calmly and avoid circumstances in Mangluan brutally clamp Bulk and suture, so as to avoid the bile duct injury, the gallbladder artery bleeding, with his left index finger can be passed on the omentum hole, with the thumb and index finger control hepatic artery and portal, net absorption bleeding thumb and index finger to relax See the cystic artery bleeding, followed by bending bleeding clamp clamp to stop bleeding, twice ligation or look under the suture. (2) bile duct injury. In cholecystectomy in the common bile duct and liver damage in charge of the incidence of about 2%. Because of injury and the reasons for the different degrees of damage caused by the consequences of different, completely cut off ligation can cause acute bile duct obstruction, after emerging obstructive jaundice. Partially or completely cut off, or not to suture ligation operation can be a bile peritonitis, formed after the drainage of bile leakage. Biliary duct of the suture can lead to narrow and cholangitis. Irrespective of the above-mentioned case, the consequences are serious, treatment is difficult. Therefore, in the gallbladder surgery, especially in the handling of the gallbladder, clearly identify and properly handle the stump of the gallbladder, in the separation of the Department of the gallbladder to prevent injury when right hepatic duct and liver mains, do a good job cholecystectomy is the key If a high degree of vigilance, coupled with a meticulous surgery operation, the vast majority of bile duct injury can be avoided. (3) gastrointestinal damage. Gallbladder surgery or acute cholecystitis and adhesions around the heavier, in the process of separation gallbladder easy to damage the colon, duodenal or gastric antrum, if only pulp muscle injury, can use thin wire suture repair, or if they have Into the lumen, it should be layered suture.