[Management for hemobilia after hepatobiliary surgery].

Objective: To investigated the diagnosis and treatment for hemobilia after hepatobiliary surgery.

Methods: The data were collected from 21 patients with postoperative hemobilia treated in our hospital from October 1989. The data from patients including age, with or without hypertension history, operation procedure, bleeding time after operation, clinical manifestation, diagnosis method, hepatic artery embolization and operative management were analyzed to summarize the clinical treatment hemobilia.

Results: There were 13 men and 8 women. Twelve patients had hypertension history. Sixteen patients were underwent with emergency hepatic artery angiography and were treated with hepatic artery embolization, the other five cases were managed directly by operation. In the operation group, 2 patients were under gone two times operative management respectively. The effectiveness of operation for all patients was good and without rebleeding.

Conclusion: Emergency hepatic artery angiography and embolization as a first diagnosis procedure and minimally invasive treatment should be the first and safe selection for all hemobilia.