Abstract

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Title:: Clinical effects of 3 kinds of methods for hemostasis of the gallbladder bed in laparoscopic cholecystectomy

Author(s):: WANG Bo1; WU Fan1; CHENG Jie1; WANG Liying2; 1. Center of Military Laparoscopic Treatment, No.986 Hospital of Air Force of PLA, Xi’an 710054, China; 2. Department of Orthodontics, Stomatological Hospital, Xi’an Jiaotong University, Xi’an 710003, China

Keywords:: ; Keywords: laparoscope; cholecystectomy; gallbladder bed; hemostasis; biopaper

Abstract:: Abstract: Objective To observe the clinical effects of different methods for hemostasis of the gallbladder bed in laparoscopic cholecystectomy. Methods A total of 120 patients scheduled for laparoscopic cholecystectomy were randomly selected. According to the methods for hemostasis of the gallbladder bed, the patients were divided into 3 groups, namely local electrocoagulation group, total electrocoagulation group and biopaper group. The cumulative abdominal drainage at 2, 12, 24, 48 h after surgery was compared among 3 groups, and the liver functions were measured before surgery and at 24, 72 h after surgery. Results The cumulative average abdominal drainage amount in biopaper group at any time point was less than that in the other two groups (P<0.05). The biochemical indexes at 24 h after surgery in all groups were significantly higher than those before surgery (P<0.05). There was no intergroup difference in biochemical indexes at 24 h after surgery (P>0.05). Conclusion The use of biopaper for hemostasis of the gallbladder bed in laparoscopic cholecystectomy can effectively prevent wound bleeding and exudation. Meanwhile, biopaper has good bio-compatibility and no adverse effects on human body.