Abstract

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Title:: Application of microwave therapy in cholecystectomy for cholecystolithiasis complicated with cirrhosis

Author(s):: CAI Diaolong; Department of General Surgery, Lufeng Jiazi People’s Hospital, Shanwei 516538, China

Keywords:: ; microwave therapy; cholecystectomy; liver cirrhosis; gallbladder bed; hemorrhage; laparoscopy

Abstract:: Objective To investigate the hemostatic effect of microwave therapy in laparoscopic cholecystectomy for patients with cholecystolithiasis complicated with cirrhosis. Methods Uncontrollable bleeding occurred in the gallbladder bed of 13 patients receiving laparoscopic treatment for symptomatic cholecystolithiasis complicated with cirrhosis. KY-2000 microwave ablation instrument with microwave power of 60 W was used for coagulation and hemostasis in patients. Coagulation continued until the bleeding stopped. Results Of 13 patients, 6 received single point coagulation, 7 received multiple-point coagulation. Coagulation at each point lasted for 2-5 min, and the bleeding stopped. No more bleeding after the operation. No significant changes were found in liver function after operation, and no jaundice was developed. The drainage tube was removed in 3-5 d, and no complications such as abdominal effusion were observed. Conclusion The proposed microwave therapy is a good method to stop the uncontrollable bleeding occurring in the gallbladder bed during laparoscopic cholecystectomy for cholecystolithiasis complicated with cirrhosis.