2003 Volume 23 Issue 6 Pages 891-898
Eight patients who suffered massive bleeding following hepato-biliary-pancreatic surgery participated inthis study. Angiography was performed in 5 cases. In 2 of the 5 cases, bleeding was successfully controlledusing an interventional radiological technique (transcatheter arterial embolization). Relaparotomy wasperformed in 6 cases, of whom 5 patients died from severe complications (eg. DIC, MOF), although bleedingwas controlled in 3 cases. The mortality of the reoperation for bleeding associating with pancreatic leakagewas 100% (4/4). The patients with pancreatic leakage showed sentinel bleeding within 6 days beforemassive hemorrhage occurred. A timely interventional approach should be selected for the treatment ofbleeding after hepato-biliary-pancreatic surgery as a life-saving proudest. Moreover, proper drainage isabsolutly required at the time of the pancreatic leakage.
