Objective To summarize the experience of applying biliary balloon dilator to prevent rebleeding after operation for hepatolithiasis combined with hemobilia.
Methods From 2003 to 2008, 11 patients were reoperated to stop from hemobilia by biliary balloon dilator’s application after operation for hepatolithiasis combined with hemobilia, and whose clinical data were collected and analyzed.
Results In 11 cases, 7 were males and 4 were females. Eight cases were transferred from other hospitals. When intrahepatic duct bleeding was stopped, the biliary balloon dilator was placed at the right site under the guide of choledochoscope. Hemobilia occurred in 4 patients and biliary balloon dilator was opened to compress for 2 h, then decompress for 0.5 h alternately. In all of 4 patients, bleeding was stopped successfully, of which, 1 patient got hemobilia again 5 d after the first bleeding, and was also stopped by the same method.
Conclusions After operation on hepatolithiasis combined hemobilia, rebleeding happens in some cases. Preset of biliary balloon dilator at the prebleeding site and opening it when rebleeding happens can get instant hemostasis, which may be a simple and effective treatment choice.
Citation：
LI Kezhou,TIAN Fuzhou,DAI Ruiwu,YAN Yong,LUO Zhulin,YAN Hongtao,WANG Hua. Effect of Biliary Balloon Dilator on Rebleeding Complication after Operation for Hepatolithiasis Combined with Hemobilia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(9): 748-750. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 1. |
Rogart JN, Aslanian HR. Massive hemobilia after transjugular liver biopsy treated endoscopically and angiographically [Ｊ]. Clin Gastroenterol Hepatol, 2008; 6(12): A30.
|
| 2. |
郑方, 邹一平, 李为民, 等. 创伤性胆道出血治疗经验与教训 [Ｊ]. 中华肝胆外科杂志, 2006; 12(6): 123-124.
|
| 3. |
施微微, 丁士清, 张挺. 胆道出血的诊断与治疗 [Ｊ]. 江苏医药, 1994; 20(8): 423-425.
|
| 4. |
田伏洲, 陈涛, 李旭, 等. 肝胆管结石合并胆道出血的诊断及治疗 [Ｊ]. 中国实用外科杂志, 2004; 24(2): 80-81.
|
| 5. |
马毅， 吴佩. 术后胆道出血17 例诊治体会 [Ｊ]. 中国普外基础与临床杂志， 2001； 8(4): 267-268.
|
| 6. |
周杰, 李朝龙. 术中胆道出血的处理 [Ｊ]. 中国普通外科杂志, 2003; 12(1): 140-141.
|
| 7. |
朱求实, 胡炎军, 韦炳邓, 等. 胆道出血的外科治疗体会 [Ｊ]. 腹部外科, 2008; 21(3): 173-174.
|
| 8. |
张振鹏. 肝胆外科术中胆道大出血的临床分析 [Ｊ]. 中国现代医生, 2008; 46(5): 82.
|
| 9. |
刘金林, 王厚清, 蔡开林. 胆管内填塞法用于术中胆道出血 [Ｊ]. 中华肝胆外科杂志, 2004; 10(7): 482-483.
|
| 10. |
柴新群, 邓飞涛, 王春友, 等. 介入栓塞治疗胆道大出血 [Ｊ]. 中华肝胆外科杂志, 2001; 7(4): 201.
|
| 11. |
鲜于剑波， 王鸿志， 资玲华， 等. 胆道大出血的导管治疗 [Ｊ]. 中国普外基础与临床杂志, 2001; 8(6): 392-394.
|
| 12. |
徐爱民, 程红岩, 陈栋, 等. 介入栓塞治疗胆道出血五例 [Ｊ]. 介入放射学杂志, 2002; 11(1): 52-53.
|
| 13. |
田成武， 朱华文. 胆道大出血的造影诊断及介入栓塞治疗 [Ｊ]. 中华肝胆外科杂志， 2002; 8（10）： 589-590.
|
| 14. |
田明国, 温新元, 刘振宇, 等. 术中逆行穿刺经皮肝胆道置管术 [Ｊ]. 中国普通外科杂志, 1995; 4(2): 91-93.
|
| 15. |
车纯良, 崔倩. Foley气囊管在术中胆道出血时的应用 [Ｊ]. 中国普通外科杂志, 2004; 13(7): 560.
|
- 1. Rogart JN, Aslanian HR. Massive hemobilia after transjugular liver biopsy treated endoscopically and angiographically [Ｊ]. Clin Gastroenterol Hepatol, 2008; 6(12): A30.
- 2. 郑方, 邹一平, 李为民, 等. 创伤性胆道出血治疗经验与教训 [Ｊ]. 中华肝胆外科杂志, 2006; 12(6): 123-124.
- 3. 施微微, 丁士清, 张挺. 胆道出血的诊断与治疗 [Ｊ]. 江苏医药, 1994; 20(8): 423-425.
- 4. 田伏洲, 陈涛, 李旭, 等. 肝胆管结石合并胆道出血的诊断及治疗 [Ｊ]. 中国实用外科杂志, 2004; 24(2): 80-81.
- 5. 马毅， 吴佩. 术后胆道出血17 例诊治体会 [Ｊ]. 中国普外基础与临床杂志， 2001； 8(4): 267-268.
- 6. 周杰, 李朝龙. 术中胆道出血的处理 [Ｊ]. 中国普通外科杂志, 2003; 12(1): 140-141.
- 7. 朱求实, 胡炎军, 韦炳邓, 等. 胆道出血的外科治疗体会 [Ｊ]. 腹部外科, 2008; 21(3): 173-174.
- 8. 张振鹏. 肝胆外科术中胆道大出血的临床分析 [Ｊ]. 中国现代医生, 2008; 46(5): 82.
- 9. 刘金林, 王厚清, 蔡开林. 胆管内填塞法用于术中胆道出血 [Ｊ]. 中华肝胆外科杂志, 2004; 10(7): 482-483.
- 10. 柴新群, 邓飞涛, 王春友, 等. 介入栓塞治疗胆道大出血 [Ｊ]. 中华肝胆外科杂志, 2001; 7(4): 201.
- 11. 鲜于剑波， 王鸿志， 资玲华， 等. 胆道大出血的导管治疗 [Ｊ]. 中国普外基础与临床杂志, 2001; 8(6): 392-394.
- 12. 徐爱民, 程红岩, 陈栋, 等. 介入栓塞治疗胆道出血五例 [Ｊ]. 介入放射学杂志, 2002; 11(1): 52-53.
- 13. 田成武， 朱华文. 胆道大出血的造影诊断及介入栓塞治疗 [Ｊ]. 中华肝胆外科杂志， 2002; 8（10）： 589-590.
- 14. 田明国, 温新元, 刘振宇, 等. 术中逆行穿刺经皮肝胆道置管术 [Ｊ]. 中国普通外科杂志, 1995; 4(2): 91-93.
- 15. 车纯良, 崔倩. Foley气囊管在术中胆道出血时的应用 [Ｊ]. 中国普通外科杂志, 2004; 13(7): 560.
