The efficacy of fibrin glue to control hemorrhage from the gallbladder bed during laparoscopic cholecystectomy.
OBJECTIVE
The aim of the study is to report our experience with fibrin glue application in the management of bleeding from the gallbladder bed during laparoscopic cholecystectomy, which could not be controlled by conventional methods.


METHODS
Three hundred eighty-two patients underwent laparoscopic cholecystectomy. Fourteen patients with bleeding from the gallbladder bed, which could not be controlled by conventional methods, were analyzed retrospectively.


RESULTS
Fibrin glue was used in 10 patients. Six (71%) were female and 4 were (29%) male. The mean age was 55.7 years. Fourteen patients were operated for the presence of symptomatic gallstones. Thirteen patients (92%) had a concomitant pathology. The mean time spent to maintain hemostasis was 23.9 minutes (15-35). Blood products were used in two patients with hemoglobin values under 8 mg/dL. Hemostasis could not be achieved in a patient despite fibrin glue application, and the operation was converted to open surgery.


CONCLUSIONS
The application of fibrin glue for bleeding from the gallbladder bed during laparoscopic cholecystectomy can reduce conversion rates, further studies including more patients are required.
Department of General Surgery, Faculty of Medicine, Namık Kemal University, Tekirdağ, Turkey.
Seyfi
S
Emir
Department of General Surgery, Faculty of Medicine, Namık Kemal University, Tekirdağ, Turkey.
İlhan
İ
Bali
Department of General Surgery, Faculty of Medicine, Namık Kemal University, Tekirdağ, Turkey.
Selim
S
Sözen
Department of General Surgery, Elazığ Teaching and Training Hospital, Elazığ, Turkey.
Fatih Mehmet
FM
Yazar
Department of General Surgery, Elazığ Teaching and Training Hospital, Elazığ, Turkey.
Burhan Hakan
BH
Kanat
Department of General Surgery, Faculty of Medicine, Namık Kemal University, Tekirdağ, Turkey.
Sibel Özkan
SÖ
Gürdal
Department of General Surgery, Elazığ Teaching and Training Hospital, Elazığ, Turkey.
Zeynep
Z
Özkan
Laparoscopic cholecystectomy; bleeding from gallbladder bed; fibrin glue