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

J Minim Access Surg. 2018 Apr-Jun;14(2):171-173. doi: 10.4103/jmas.JMAS_50_17.

Abstract

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.

Keywords: Hand-assisted laparoscopy; haemostasis; hepatectomy; liver resection; post-operative haemorrhage.