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IMAGES IN LAPAROSCOPY
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Emergency hand-assisted laparoscopic haemostasis for post-operative haemorrhage following laparoscopic liver resection


1 Department of Hepatopancreatobiliary and Transplant Surgery, General Hospital, Singapore
2 Department of Hepatopancreatobiliary and Transplant Surgery, General Hospital; Duke-NUS Medical School, Singapore

Correspondence Address:
Brian Kim Poh Goh,
Department of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, 20 College Road, Academia 169856
Singapore
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Source of Support: None, Conflict of Interest: None

Introduction: The use of laparoscopic surgery for liver resection and the management of abdominal emergencies has been well established. However, the value of this technique for post-operative haemorrhage in liver resection has not been characterized. Case Description: We describe a case of post-operative haemorrhage following an elective totally laparoscopic liver resection that was treated with emergency hand-assisted laparoscopic haemostasis. Discussion: Emergency hand-assisted laparoscopic haemostasis in the setting of post-operative haemorrhage after laparoscopic liver resection is feasible and should be considered as a treatment option in suitable patients.


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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04